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General NPI Number Information
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NPI Number | 1598895641
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Entity Type | Individual
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Provider Name | MARIE JEANNE RETHERFORD MFT
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1270 NATIVIDAD RD ROOM 200
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City | SALINAS
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State | CA
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Zip | 93906
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Country | US
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Telephone | 831-755-4510
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Fax | 831-796-2841
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Provider Business Mailing Address
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Address Line | 46 W. GARZAS RD
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City | CARMEL VALLEY
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State | CA
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Zip | 93924-9446
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Country | US
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Telephone | 831-659-1305
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Fax | 831-796-2841
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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 | MFC28047
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License Number State | CA
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