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General NPI Number Information
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NPI Number | 1568334605
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Entity Type | Individual
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Provider Name | MICHAEL MCGUIRE GROSS
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 7364 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92115-1864
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Country | US
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Telephone | 619-623-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 232 11TH ST
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City | DEL MAR
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State | CA
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Zip | 92014-2313
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Country | US
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Telephone | 619-623-4730
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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 | 159435
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License Number State | CA
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