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General NPI Number Information
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NPI Number | 1437473196
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Entity Type | Individual
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Provider Name | ROSEMARY MAXINE KANE MFC, CATC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 18 TECHNOLOGY DR STE 118
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City | IRVINE
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State | CA
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Zip | 92618-2310
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Country | US
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Telephone | 949-922-4564
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Fax |
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Provider Business Mailing Address
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Address Line | 23232 PERALTA DR SUITE 219
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1443
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Country | US
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Telephone | 949-306-6565
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Fax | 949-495-0492
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 970117
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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 | 46557
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License Number State | CA
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