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General NPI Number Information
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NPI Number | 1609217355
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Entity Type | Individual
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Provider Name | JOANNA SARAO SONGCUAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 2400 FENTON ST STE 217
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City | CHULA VISTA
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State | CA
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Zip | 91914
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Country | US
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Telephone | 619-213-9167
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Fax |
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Provider Business Mailing Address
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Address Line | 8810C JAMACHA BLVD # 265
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City | SPRING VALLEY
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State | CA
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Zip | 91977-5633
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Country | US
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Telephone | 619-398-5846
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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 |
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License Number State |
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