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General NPI Number Information
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NPI Number | 1427674464
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Entity Type | Individual
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Provider Name | SHAVONTAE DANIE GOLDEN-MCCANTS MA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | SUTTER-YUBA BEHAVIORAL HEALTH 1965 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-3794
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Country | US
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Telephone | 530-822-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 9791 GARY DR
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City | BROWNS VALLEY
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State | CA
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Zip | 95918-9640
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Country | US
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Telephone | 916-607-3970
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Fax |
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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 | 134218
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License Number State | CA
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