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General NPI Number Information
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NPI Number | 1174667026
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Entity Type | Individual
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Provider Name | ARIONE D CAPOLUPO MFT
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 275 CENTENNIAL WAY SUITE 107
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City | TUSTIN
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State | CA
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Zip | 92780-3708
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Country | US
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Telephone | 714-437-7400
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Fax | 714-437-7410
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Provider Business Mailing Address
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Address Line | 25885 TRABUCO RD SUITE 5
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City | LAKE FOREST
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State | CA
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Zip | 92630-6602
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Country | US
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Telephone | 714-437-7400
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Fax | 714-437-7410
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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 | MFC39729
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License Number State | CA
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