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General NPI Number Information
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NPI Number | 1205621778
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Entity Type | Individual
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Provider Name | ALISSA CORACE AMFT APCC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3037 VIA ESTRADA
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City | CARLSBAD
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State | CA
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Zip | 92009-4550
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Country | US
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Telephone | 808-345-1463
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Fax |
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Provider Business Mailing Address
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Address Line | 490 N GRAPE ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-3079
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Country | US
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Telephone | 760-975-9939
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Fax | 760-509-9093
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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 |
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License Number State |
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