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General NPI Number Information
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NPI Number | 1437723285
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Entity Type | Organization
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Legal Business Name | DESERT INSIGHT FAMILY THERAPY, PROF. CORP.
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 35325 DATE PALM DR STE 151C
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7002
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Country | US
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Telephone | 442-307-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 35325 DATE PALM DR STE 151C
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7002
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Country | US
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Telephone | 442-307-3395
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROLINA ESTRADA
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Credential | LMFT
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Telephone | 442-307-3395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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