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General NPI Number Information
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NPI Number | 1407238926
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Entity Type | Organization
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Legal Business Name | MARGETICH&MORTON MFCC
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Dates
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Enumeration Date | 06/20/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 2277 FAIR OAKS BLVD STE 190
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City | SACRAMENTO
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State | CA
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Zip | 95825-5599
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Country | US
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Telephone | 916-920-9429
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Fax | 916-929-9491
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Provider Business Mailing Address
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Address Line | 2277 FAIR OAKS BLVD STE 190
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City | SACRAMENTO
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State | CA
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Zip | 95825-5599
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Country | US
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Telephone | 916-920-9429
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Fax | 916-929-9491
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. THERESA C MARGETICH
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Credential | PHD
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Telephone | 916-920-9429
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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 | MFT23393
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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 | MFT20729
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License Number State | CA
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