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General NPI Number Information
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NPI Number | 1366458697
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Entity Type | Individual
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Provider Name | MARIA VAUGHN CURAMENG TERESI MS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 3121 TAMALPAIS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95821-2544
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Country | US
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Telephone | 916-767-4735
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Fax | 916-856-5708
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Provider Business Mailing Address
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Address Line | 3335 WATT AVE STE B-130
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City | SACRAMENTO
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State | CA
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Zip | 95821-3615
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Country | US
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Telephone | 916-767-4735
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Fax | 916-856-5708
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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 | MFC 48006
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License Number State | CA
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