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General NPI Number Information
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NPI Number | 1215266440
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Entity Type | Individual
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Provider Name | SYLVIA FERNANDEZ CHAMBERLAIN M.A. MFT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 940 E VALLEY PKWY SUITE D
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-300-3313
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Fax | 760-747-2443
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Provider Business Mailing Address
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Address Line | 1966 SAN PABLO DR
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City | SAN MARCOS
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State | CA
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Zip | 92078-4822
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Country | US
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Telephone | 760-744-5975
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Fax | 760-744-5975
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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 | MFC32279
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License Number State | CA
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