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General NPI Number Information
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NPI Number | 1225436843
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN RELATIONSHIP COUNSELING CENTER
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 2782 GATEWAY RD
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City | CARLSBAD
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State | CA
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Zip | 92009-1730
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Country | US
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Telephone | 626-614-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 2544 MUIRFIELDS DR
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City | CARLSBAD
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State | CA
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Zip | 92009-3092
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Country | US
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Telephone | 626-614-4555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON GRACE MAY
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Credential | PH.D.
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Telephone | 626-614-4555
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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 | MFC 39408
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License Number State | CA
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