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General NPI Number Information
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NPI Number | 1568100907
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Entity Type | Organization
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Legal Business Name | COMPASS FAMILY THERAPY SERVICES
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 10951 CHARDONNAY PL
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City | SAN DIEGO
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State | CA
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Zip | 92131-1509
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Country | US
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Telephone | 858-215-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 9528 MIRAMAR RD # 1210
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City | SAN DIEGO
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State | CA
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Zip | 92126-4533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOLLY MOELL
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Credential | LMFT, BCBA
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Telephone | 858-215-2213
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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 |
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License Number State |
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