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General NPI Number Information
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NPI Number | 1063125789
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Entity Type | Organization
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Legal Business Name | PATH OF COMPASSION FAMILY THERAPY
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 3820 AUBURN BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95821-2124
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Country | US
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Telephone | 916-695-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 FARALLON RD
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5816
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Country | US
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Telephone | 916-695-0724
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. HUBBIS D FABIAN
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Credential | MA
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Telephone | 916-695-0724
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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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