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General NPI Number Information
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NPI Number | 1649211996
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Entity Type | Individual
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Provider Name | MARJORIE VEGO KRAUSZ ED.D, MFT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 6994 EL CAMINO REAL STE 205B
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City | CARLSBAD
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State | CA
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Zip | 92009-4153
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Country | US
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Telephone | 760-931-9333
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Fax | 760-436-5216
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Provider Business Mailing Address
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Address Line | 6994 EL CAMINO REAL STE 205B
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City | CARLSBAD
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State | CA
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Zip | 92009-4153
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Country | US
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Telephone | 760-931-9333
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Fax | 760-436-5216
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 22132
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT9347
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License Number State | CA
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