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General NPI Number Information
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NPI Number | 1609966134
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Entity Type | Individual
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Provider Name | ANITA FREYMAN-DANIELSEN M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 336 NORTHGATE DR
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City | MANTECA
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State | CA
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Zip | 95336-3139
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Country | US
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Telephone | 209-825-5589
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Fax | 209-825-5996
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Provider Business Mailing Address
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Address Line | PO BOX 892
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City | MANTECA
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State | CA
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Zip | 95336-1136
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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 |
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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 | 33891
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License Number State | CA
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