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General NPI Number Information
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NPI Number | 1134558471
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Entity Type | Individual
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Provider Name | KATHRYN ANDERSON LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 11848 BERNARDO PLAZA CT STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92128-2438
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Country | US
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Telephone | 858-925-8316
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Fax | 858-815-6309
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Provider Business Mailing Address
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Address Line | PO BOX 500682
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City | SAN DIEGO
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State | CA
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Zip | 92150-0682
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Country | US
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Telephone | 858-925-8316
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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 | 94556
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License Number State | CA
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