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General NPI Number Information
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NPI Number | 1194190207
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Entity Type | Individual
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Provider Name | JOHANNA CHRISTY CALICA
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1600 CALIFORNIA DRIVE
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City | VACAVILLE
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State | CA
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Zip | 95687
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Country | US
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Telephone | 707-448-6841
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 CASCADE CIR
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City | FAIRFIELD
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State | CA
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Zip | 94533-6525
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Country | US
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Telephone | 707-989-0990
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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 | 150394
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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 | 119336
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License Number State | CA
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