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General NPI Number Information
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NPI Number | 1043178767
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Entity Type | Organization
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Legal Business Name | DAMOOSE MARRIAGE & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1527 W LEWIS ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-1220
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Country | US
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Telephone | 760-492-3022
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Fax | 760-492-3022
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Provider Business Mailing Address
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Address Line | 4435 TRIAS ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-1142
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Country | US
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Telephone | 760-492-3022
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Fax | 760-492-3022
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LINDSAY DAMOOSE
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Credential | LMFT
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Telephone | 760-492-3022
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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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