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General NPI Number Information
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NPI Number | 1649783739
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Entity Type | Organization
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Legal Business Name | GILBERT MARRIAGE AND FAMILY COUNSELING SERVICES, A PROFESSIONAL CORP.
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 05/25/2019
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Provider Practice Location Address
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Address Line | 43460 RIDGE PARK DR STE 200-C
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City | TEMECULA
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State | CA
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Zip | 92590-5518
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Country | US
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Telephone | 951-297-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 7668 EL CAMINO REAL # 104-155
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City | CARLSBAD
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State | CA
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Zip | 92009-7932
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Country | US
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Telephone | 760-420-8845
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT / THERAPIST
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Name | SHARI ANGELE GILBERT
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Credential | LMFT
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Telephone | 760-420-8845
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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 | 50225
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License Number State | CA
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