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General NPI Number Information
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NPI Number | 1487953295
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Entity Type | Individual
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Provider Name | DEBRA RAE SLOSS MA, MFT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 192 FAST LN
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City | SANTA CRUZ
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State | CA
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Zip | 95065-9719
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Country | US
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Telephone | 831-426-4800
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Fax | 831-480-1375
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Provider Business Mailing Address
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Address Line | PO BOX 3302
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City | SANTA CRUZ
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State | CA
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Zip | 95063-3302
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Country | US
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Telephone | 831-426-4800
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Fax | 831-480-1375
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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 | MFC38982
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License Number State | CA
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