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NPI 1316741382

NPI 1316741382 : DNA MARRIAGE AND FAMILY THERAPY, INC. : CARLSBAD, CA

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General NPI Number Information
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    NPI Number           |    1316741382
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    Entity Type          |    Organization 
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    Legal Business Name  |    DNA MARRIAGE AND FAMILY THERAPY, INC. 
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Dates
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    Enumeration Date     |    04/01/2025
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    Last Update Date     |    04/10/2025
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Provider Practice Location Address
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    Address Line         |    2382 FARADAY AVE, STE 200-22 
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    City                 |    CARLSBAD
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    State                |    CA
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    Zip                  |    92008
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    Country              |    US
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    Telephone            |    760-458-5070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1611 S MELROSE DR, STE A #151 
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    City                 |    VISTA
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    State                |    CA
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    Zip                  |    92081-5407
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DANIEL  NEMETH 
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    Credential           |    
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    Telephone            |    760-458-5070
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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       |    
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    License Number State |    
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