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General NPI Number Information
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NPI Number | 1386776185
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Entity Type | Individual
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Provider Name | NATHAN SOL WEINSTEIN M.A.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 3333 MISSION DR
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1827
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Country | US
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Telephone | 831-392-7064
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2674
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City | APTOS
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State | CA
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Zip | 95001-2674
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Country | US
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Telephone | 831-392-7064
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Fax | 831-621-5440
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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 | 48570
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License Number State | CA
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