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General NPI Number Information
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NPI Number | 1003154030
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Entity Type | Individual
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Provider Name | SANDRA KAISER KAUMAYA MFT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 17215 STUDEBAKER RD 180
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City | CERRITOS
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State | CA
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Zip | 90703-2548
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Country | US
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Telephone | 562-841-0348
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Fax | 564-496-0484
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Provider Business Mailing Address
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Address Line | 17215 STUDEBAKER RD STE # 180
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City | CERRITOS
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State | CA
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Zip | 90703-2548
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Country | US
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Telephone | 562-841-0348
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Fax | 564-496-0484
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 21540
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 21540
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License Number State | CA
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