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General NPI Number Information
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NPI Number | 1679661532
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Entity Type | Individual
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Provider Name | SANDRA JO BUTCHER M.A., L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 44426 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-3325
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Country | US
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Telephone | 661-945-1682
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Fax | 661-945-6053
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Provider Business Mailing Address
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Address Line | 43020 ED HALLEY PL
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City | LANCASTER
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State | CA
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Zip | 93536-4817
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Country | US
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Telephone | 661-945-1682
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Fax | 661-945-6053
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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 | MFC 33412
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License Number State | CA
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