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General NPI Number Information
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NPI Number | 1447721311
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Entity Type | Organization
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Legal Business Name | THERAPY CENTER AND FAMILY COUNSELING CORPORATION
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 9920 PACIFIC HEIGHTS BLVD STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-4361
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Country | US
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Telephone | 310-948-3970
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Fax | 858-724-2786
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Provider Business Mailing Address
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Address Line | 10070 MESA RIM RD
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City | SAN DIEGO
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State | CA
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Zip | 92121-2912
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Country | US
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Telephone | 310-948-3970
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Fax | 858-724-2786
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMAK RAZAVI
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Credential | MARRIAGE AND FAMILY
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Telephone | 310-948-3970
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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 |
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License Number State |
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