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General NPI Number Information
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NPI Number | 1326190745
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Entity Type | Individual
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Provider Name | DOMONIC L KAY MFT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10725 INTERNATIONAL DR KAISER PERMANENTE
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670
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Country | US
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Telephone | 916-631-2406
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Fax | 916-631-2439
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Provider Business Mailing Address
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Address Line | 1386 HONEY RUN CT
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City | PLUMAS LAKE
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State | CA
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Zip | 95961
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Country | US
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Telephone | 830-742-7315
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Fax | 830-742-7315
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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 | M22997
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License Number State | CA
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