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General NPI Number Information
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NPI Number | 1053694810
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Entity Type | Individual
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Provider Name | STEPHEN L TROMBLEY LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 3344 4TH AVE STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92103-5704
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Country | US
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Telephone | 619-341-2369
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Fax | 619-698-4475
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Provider Business Mailing Address
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Address Line | PO BOX 2863
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City | SPRING VALLEY
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State | CA
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Zip | 91979-2863
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Country | US
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Telephone | 619-341-2369
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Fax | 619-698-4475
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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 | 46917
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License Number State | CA
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