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General NPI Number Information
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NPI Number | 1669946166
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Entity Type | Organization
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Legal Business Name | COUPLES INSTITUTE OF SANTA BARBARA INC
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 2020 ALAMEDA PADRE SERRA STE 211
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City | SANTA BARBARA
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State | CA
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Zip | 93103-1761
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Country | US
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Telephone | 805-540-8555
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Fax | 805-324-4913
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Provider Business Mailing Address
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Address Line | 2020 ALAMEDA PADRE SERRA STE 211
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City | SANTA BARBARA
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State | CA
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Zip | 93103-1761
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Country | US
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Telephone | 805-540-8555
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Fax | 805-324-4913
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOAN ALEXANDRA PORTER
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Credential | MFT
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Telephone | 805-540-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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