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General NPI Number Information
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NPI Number | 1003666439
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Entity Type | Organization
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Legal Business Name | CARE COLLECTIVE THERAPY LLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 5650 WHITELOCK PARKWAY STE 130 #2085
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City | ELK GROVE
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State | CA
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Zip | 95757
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Country | US
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Telephone | 916-250-2587
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Fax | 855-225-3588
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Provider Business Mailing Address
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Address Line | 5650 WHITELOCK PARKWAY STE 130 #2085
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City | ELK GROVE
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State | CA
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Zip | 95757
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Country | US
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Telephone | 916-250-2587
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Fax | 855-225-3588
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | BRITTANY PURDY ANGEJA
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Credential |
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Telephone | 916-250-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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