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General NPI Number Information
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NPI Number | 1639720071
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Entity Type | Individual
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Provider Name | TAMATHA K EARNHART LMFT, ATR
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Gender | Female
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 365 S RANCHO SANTA FE RD STE 204
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City | SAN MARCOS
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State | CA
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Zip | 92078-2338
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Country | US
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Telephone | 760-456-9362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 231096
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City | ENCINITAS
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State | CA
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Zip | 92023-1096
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Country | US
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Telephone | 760-456-9362
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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 | 95728
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License Number State | CA
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