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General NPI Number Information
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NPI Number | 1003401928
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Entity Type | Individual
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Provider Name | CARRIE ELAINE SCIAMETTA LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 9881 DEERHAVEN DR
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City | SANTA ANA
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State | CA
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Zip | 92705-7501
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Country | US
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Telephone | 949-445-5169
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Fax |
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Provider Business Mailing Address
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Address Line | 175 S WATERWHEEL WAY
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City | ORANGE
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State | CA
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Zip | 92869-4341
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Country | US
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Telephone | 916-300-7014
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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 | 114826
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License Number State | CA
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