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General NPI Number Information
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NPI Number | 1023736782
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHOTHERAPY & INTEGRATIVE HEALTH, A MARRIAGE & FAMILY THE
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 615 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3301
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Country | US
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Telephone | 805-312-8078
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Fax |
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Provider Business Mailing Address
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Address Line | 615 STATE ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3301
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Country | US
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Telephone | 805-312-8078
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RUDY RUDERMAN
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Credential | LMFT
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Telephone | 805-312-8078
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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 |
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License Number State |
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