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General NPI Number Information
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NPI Number | 1508988809
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Entity Type | Individual
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Provider Name | TODD MICHAEL FIORI MFT, PPS
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1020 SUNDOWN WAY, SUITE 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-4473
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Country | US
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Telephone | 916-784-6102
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Fax | 916-784-6170
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Provider Business Mailing Address
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Address Line | 1660 UNION SQUARE RD
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5178
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Country | US
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Telephone | 916-752-0309
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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 | MFC 39013
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License Number State | CA
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