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General NPI Number Information
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NPI Number | 1346768470
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Entity Type | Individual
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Provider Name | AMBER ROSE DAUGHRITY LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 406 CHINN ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-4339
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Country | US
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Telephone | 707-800-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 368 FELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5144
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Country | US
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Telephone | 415-861-0828
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Fax | 415-861-0257
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT139137
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License Number State | CA
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