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General NPI Number Information
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NPI Number | 1184695546
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Entity Type | Individual
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Provider Name | PATRICIA DIANE CRAINE MA LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2150 TAHQUITZ WAY SUITE 3
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City | PALM SPRINGS
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State | CA
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Zip | 92262
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Country | US
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Telephone | 760-323-8016
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Fax | 760-322-7652
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Provider Business Mailing Address
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Address Line | 176 EL CAMINO WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92264
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Country | US
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Telephone | 760-322-3799
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Fax | 760-322-3799
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MFT27751
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License Number State | CA
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