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General NPI Number Information
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NPI Number | 1295975589
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Entity Type | Individual
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Provider Name | JENNIFER B CHAPPELL MARSH LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 3333 CAMINO DEL RIO S #215
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City | SAN DIEGO
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State | CA
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Zip | 92108-3808
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Country | US
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Telephone | 858-876-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 MEADE AVE #A
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City | SAN DIEGO
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State | CA
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Zip | 92116-3928
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Country | US
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Telephone | 858-736-7386
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 53559
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License Number State | CA
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