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General NPI Number Information
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NPI Number | 1629807870
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Entity Type | Organization
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Legal Business Name | VINE FAMILY COUNSELING, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1765 GOODYEAR AVE STE 207
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City | VENTURA
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State | CA
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Zip | 93003-8026
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Country | US
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Telephone | 805-832-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 2249 PAJARO ST
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City | OXNARD
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State | CA
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Zip | 93030-0128
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Country | US
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Telephone | 805-832-2977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DAISY CORTES POLIDO
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Credential | LMFT
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Telephone | 805-832-2977
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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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