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General NPI Number Information
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NPI Number | 1144381898
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Entity Type | Individual
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Provider Name | DAVID PAUL HATHERILL PHD LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2120 THIBODO CT SUITE 230
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City | VISTA
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State | CA
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Zip | 92085
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Country | US
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Telephone | 858-279-1223
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Fax | 760-597-4880
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Provider Business Mailing Address
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Address Line | P O BOX 867
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City | DEL MAR
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State | CA
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Zip | 92014-0867
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Country | US
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Telephone | 619-772-3283
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Fax | 858-523-1442
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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 17362
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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 | 4101006345
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License Number State | MI
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