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General NPI Number Information
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NPI Number | 1295972354
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Entity Type | Individual
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Provider Name | MARK THOMAS CADY M.S., MFT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 3537 OLD CONEJO RD SUITE 113
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City | NEWBURY PARK
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State | CA
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Zip | 91320-2157
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Country | US
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Telephone | 805-499-8511
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Fax | 805-499-1622
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Provider Business Mailing Address
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Address Line | 1215 S. KIHEI RD. SUITE O #126
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City | KIHEI
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State | HI
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Zip | 96753
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Country | US
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Telephone | 805-630-5135
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Fax | 808-214-6108
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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 | 46708
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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 | 581
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License Number State | HI
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