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NPI 1457686628

NPI 1457686628 : FAYE ELLEN TOWNSEND SAUNDERS : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1457686628
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    Entity Type          |    Individual 
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    Provider Name        |    FAYE ELLEN TOWNSEND SAUNDERS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2009
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    Last Update Date     |    08/05/2024
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Provider Practice Location Address
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    Address Line         |    6160 MISSION GORGE RD STE 108 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92120-3425
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    Country              |    US
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    Telephone            |    619-481-5200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1315 25TH ST 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92102-2107
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    Country              |    US
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    Telephone            |    619-233-0067
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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       |    
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    License Number State |    
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