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General NPI Number Information
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NPI Number | 1306120027
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Entity Type | Organization
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Legal Business Name | FACE 2 FACE THERAPY SERVICES
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 13625 ADRIAN ST
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City | POWAY
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State | CA
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Zip | 92064-3969
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Country | US
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Telephone | 858-231-3489
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Fax | 858-679-9390
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Provider Business Mailing Address
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Address Line | 13625 ADRIAN ST
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City | POWAY
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State | CA
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Zip | 92064-3969
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Country | US
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Telephone | 858-231-3489
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Fax | 858-679-9390
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Authorized Official
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Title or Position | OWNER
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Name | JEANINE SACHS
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Credential | MFT
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Telephone | 858-231-3489
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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 34188
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License Number State | CA
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