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General NPI Number Information
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NPI Number | 1487296059
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Entity Type | Individual
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Provider Name | CATHERINE PARRA HAYNES M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 4344 LATHAM ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-0400
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Country | US
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Telephone | 951-779-4917
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 MUIRFIELD RD
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City | RIVERSIDE
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State | CA
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Zip | 92506-5577
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Country | US
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Telephone | 951-907-5361
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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 | 97467
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License Number State | CA
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