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General NPI Number Information
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NPI Number | 1306192653
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Entity Type | Individual
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Provider Name | KACEY LYNN WEHR M.A., IMF
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 2801 CAMINO DEL RIO S SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92108-3800
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Country | US
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Telephone | 619-702-5571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 122429
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City | SAN DIEGO
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State | CA
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Zip | 92112-2429
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Country | US
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Telephone | 619-702-5571
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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 | MFC43476
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License Number State | CA
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