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General NPI Number Information
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NPI Number | 1548754351
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Entity Type | Individual
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Provider Name | SANDRA RAQUEL MILSTEIN-OSTROM LMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 9921 CARMEL MOUNTAIN RD # 194
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City | SAN DIEGO
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State | CA
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Zip | 92129-2813
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Country | US
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Telephone | 858-215-1601
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Fax | 858-223-7822
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Provider Business Mailing Address
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Address Line | 9539 BAYAMON RD
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City | SAN DIEGO
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State | CA
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Zip | 92129-2873
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Country | US
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Telephone | 619-922-1012
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | 121126
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License Number State | CA
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