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NPI 1538270780

NPI 1538270780 : TERRY A GERBER MFT : FOLSOM, CA

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General NPI Number Information
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    NPI Number           |    1538270780
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    Entity Type          |    Individual 
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    Provider Name        |    TERRY A GERBER MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    04/14/2011
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Provider Practice Location Address
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    Address Line         |    310 NATOMA ST. STE. 150
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    City                 |    FOLSOM
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    State                |    CA
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    Zip                  |    95630
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    Country              |    US
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    Telephone            |    916-798-7895
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    Fax                  |    916-351-9759
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Provider Business Mailing Address
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    Address Line         |    102 DEMURRAGE WAY 
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    City                 |    FOLSOM
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    State                |    CA
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    Zip                  |    95630
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    Country              |    US
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    Telephone            |    916-798-7895
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    Fax                  |    916-351-9759
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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       |    IMF40466
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC46214
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    License Number State |    CA
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