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General NPI Number Information
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NPI Number | 1174667398
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Entity Type | Individual
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Provider Name | GAYE FREEMAN MFT
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18029 RIVERSIDE DR SUITE A
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City | SONOMA
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State | CA
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Zip | 95476-4291
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Country | US
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Telephone | 707-935-0605
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Fax | 707-935-0605
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Provider Business Mailing Address
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Address Line | PO BOX 1354
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City | BOYES HOT SPRINGS
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State | CA
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Zip | 95416-1354
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Country | US
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Telephone | 707-935-0605
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Fax | 707-935-0605
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFC 20387
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License Number State | CA
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