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General NPI Number Information
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NPI Number | 1063892495
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Entity Type | Individual
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Provider Name | DANIEL CONSTANTZ LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 1441 CONSTITUTION BLVD
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-755-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 17038 MORGAN ST
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City | EAST GARRISON
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State | CA
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Zip | 93933-5091
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Country | US
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Telephone | 650-207-5355
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Fax |
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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 | 114369
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License Number State | CA
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