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General NPI Number Information
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NPI Number | 1003352147
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Entity Type | Organization
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Legal Business Name | CHERIE MCQUAY CASSARA, MARRIAGE & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 23282 MILL CREEK DR 220
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1658
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Country | US
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Telephone | 714-468-2512
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Fax |
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Provider Business Mailing Address
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Address Line | 20082 KLINE DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1310
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Country | US
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Telephone | 714-468-2512
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Fax |
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | CHERIE CASSARA
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Credential | MA, LMFT
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Telephone | 714-468-2512
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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 | 90709
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License Number State | CA
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