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General NPI Number Information
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NPI Number | 1003155425
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Entity Type | Individual
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Provider Name | FRANCES GORDON M.A.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 5266 HOLLISTER AVE SUITE 104
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2037
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Country | US
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Telephone | 310-592-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 454 PACIFIC OAKS RD
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City | GOLETA
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State | CA
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Zip | 93117-2909
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Country | US
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Telephone |
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 36812
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License Number State | CA
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