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General NPI Number Information
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NPI Number | 1083951651
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Entity Type | Individual
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Provider Name | GITA SESHADRI PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 2030 W EL CAMINO AVE STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95833-1867
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Country | US
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Telephone | 949-294-1704
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13498
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City | SACRAMENTO
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State | CA
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Zip | 95813-3498
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Country | US
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Telephone |
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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 | MFC 48254
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License Number State | CA
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