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General NPI Number Information
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NPI Number | 1649711128
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH ALCANTARA LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 7817 HERSCHEL AVE STE 202
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City | LA JOLLA
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State | CA
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Zip | 92037-4454
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Country | US
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Telephone | 858-876-2161
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Fax |
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Provider Business Mailing Address
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Address Line | 7817 HERSCHEL AVE STE 202
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City | LA JOLLA
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State | CA
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Zip | 92037-4454
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Country | US
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Telephone | 858-876-2161
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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 | 122312
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License Number State | CA
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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 | 109313
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License Number State | CA
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