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NPI 1073620514

NPI 1073620514 : OKEEMA N POLITE MA : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1073620514
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    Entity Type          |    Individual 
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    Provider Name        |    OKEEMA N POLITE MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2006
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    Last Update Date     |    02/27/2023
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Provider Practice Location Address
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    Address Line         |    7000 FRANKLIN BLVD 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95823-1820
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    Country              |    US
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    Telephone            |    916-346-5350
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    Fax                  |    916-244-7196
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Provider Business Mailing Address
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    Address Line         |    PO BOX 275 
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    City                 |    THORNTON
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    State                |    CA
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    Zip                  |    95686-0275
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    Country              |    US
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    Telephone            |    916-346-5350
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    Fax                  |    916-244-7196
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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       |    43204
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC 43204
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    License Number State |    CA
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