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General NPI Number Information
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NPI Number | 1376750364
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Entity Type | Individual
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Provider Name | KAREN OUSE LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/23/2018
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Provider Practice Location Address
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Address Line | 9515 SOQUEL DR STE 212
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City | APTOS
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State | CA
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Zip | 95003
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Country | US
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Telephone | 831-689-7676
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Fax | 844-318-0890
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Provider Business Mailing Address
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Address Line | 9515 SOQUEL DR STE 212
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City | APTOS
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State | CA
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Zip | 95003-4137
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Country | US
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Telephone | 831-689-7676
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Fax | 844-318-0890
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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 | IMF 47115
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License Number State | CA
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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 | 47829
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License Number State | CA
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