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NPI 1487866620

NPI 1487866620 : JOHN J. CEPIN M.A., LMFT : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1487866620
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN J. CEPIN M.A., LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    5210 E PIMA ST SUITE 200
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85712-3664
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    Country              |    US
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    Telephone            |    520-405-4469
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4802 E FORT LOWELL RD UNIT N
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85712-1260
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    Country              |    US
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    Telephone            |    520-795-8960
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    Fax                  |    520-319-0410
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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       |    LMFT-0168
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    License Number State |    AZ
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