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General NPI Number Information
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NPI Number | 1649146325
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Entity Type | Organization
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Legal Business Name | M-PATHY A MARRIAGE AND FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 700 RATTAN CT
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City | FREMONT
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State | CA
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Zip | 94539-7728
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Country | US
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Telephone | 408-502-6863
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Fax | 408-620-7933
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Provider Business Mailing Address
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Address Line | 700 RATTAN CT
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City | FREMONT
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State | CA
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Zip | 94539-7728
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Country | US
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Telephone | 408-502-6863
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Fax | 408-620-7933
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIAM ALI
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Credential | LMFT
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Telephone | 408-502-6863
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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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