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General NPI Number Information
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NPI Number | 1568731131
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Entity Type | Individual
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Provider Name | SACHA C MCGOWAN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 914 MISSION AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-6106
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Country | US
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Telephone | 415-456-9350
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Fax |
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Provider Business Mailing Address
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Address Line | 208 WATERFORD DR
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City | VACAVILLE
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State | CA
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Zip | 95688-9221
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Country | US
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Telephone | 707-624-0900
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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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