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General NPI Number Information
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NPI Number | 1518234251
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Entity Type | Organization
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Legal Business Name | SOFT CLAY MARRIAGE FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 18000 STUDEBAKER RD STE 700
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City | CERRITOS
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State | CA
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Zip | 90703-2684
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Country | US
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Telephone | 562-467-8958
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Fax | 562-467-8959
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD. STE. 700
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City | CERRITOS
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State | CA
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Zip | 90703-2684
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Country | US
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Telephone | 562-467-8958
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Fax | 562-467-8959
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Authorized Official
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Title or Position | LMFT, OWNER
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Name | MRS. KIMBERLY ANN NAVARRO
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Credential | M.S.
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Telephone | 562-467-8958
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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 | MFCC42686
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License Number State | CA
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