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General NPI Number Information
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NPI Number | 1356896849
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Entity Type | Individual
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Provider Name | NANCY K GEORGES LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2062 JOHN JONES RD STE 240
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City | DAVIS
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State | CA
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Zip | 95616-9709
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Country | US
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Telephone | 530-231-5223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4784
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City | DAVIS
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State | CA
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Zip | 95617-4784
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Country | US
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Telephone | 818-461-2297
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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 | 125342
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License Number State | CA
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