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General NPI Number Information
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NPI Number | 1386231199
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Entity Type | Organization
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Legal Business Name | RELATIONSHIP CENTER MARRIAGE, FAMILY THERAPY
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 3727 EL CAJON BLVD STE 416
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City | SAN DIEGO
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State | CA
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Zip | 92105-1004
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Country | US
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Telephone | 619-665-7925
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Fax | 619-284-2443
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Provider Business Mailing Address
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Address Line | 3093 CENTRAL AVE
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City | SAN DIEGO
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State | CA
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Zip | 92105-4030
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Country | US
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Telephone | 619-665-7925
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Fax | 619-284-2443
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH VERNA GRIFFITH-TATE
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Credential | LMFT
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Telephone | 619-665-7925
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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 |
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License Number State |
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