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General NPI Number Information
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NPI Number | 1659715712
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Entity Type | Individual
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Provider Name | MS. ZAKIYA STARR DUVIELLA
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Gender | Female
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1020 S SANTA FE AVENUE SUITE B-1
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City | VISTA
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State | CA
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Zip | 92084-7000
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Country | US
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Telephone | 760-305-8225
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Fax | 760-305-8232
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Provider Business Mailing Address
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Address Line | 1020 S SANTA FE AVE SUITE B-1
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City | VISTA
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State | CA
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Zip | 92084-7000
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Country | US
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Telephone | 760-305-8225
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Fax | 760-305-8232
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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 | IMF80376
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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 | LMFT 97165
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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