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General NPI Number Information
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NPI Number | 1265756803
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Entity Type | Individual
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Provider Name | MELISSA JONES CANTEKIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 1129 STATE STREET SUITE 3-G
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6752
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Country | US
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Telephone | 805-965-9508
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 STATE STREET SUITE 3-G
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6752
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Country | US
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Telephone | 805-965-9508
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | CAPSY#22622
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | CAPSY#22622
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | CAPSY#22622
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License Number State | CA
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