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General NPI Number Information
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NPI Number | 1497093231
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Entity Type | Organization
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Legal Business Name | VMS FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 2350 W SHAW AVE SUITE 116
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City | FRESNO
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State | CA
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Zip | 93711-3401
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Country | US
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Telephone | 559-573-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W SHAW AVE SUITE 116
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City | FRESNO
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State | CA
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Zip | 93711-3401
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Country | US
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Telephone | 559-573-4194
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VICTORIA MARIE SANDERS
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Credential | LMFT
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Telephone | 559-573-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFC #52610
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License Number State | CA
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