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General NPI Number Information
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NPI Number | 1689812992
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Entity Type | Individual
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Provider Name | JANIS JENNINGS MFT, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 22 W MICHELTORENA ST STE A
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6526
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Country | US
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Telephone | 805-568-1519
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Fax | 805-845-3464
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Provider Business Mailing Address
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Address Line | P.O. BOX 22703
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City | SANTA BARBARA
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State | CA
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Zip | 93121-2703
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Country | US
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Telephone | 805-568-1519
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Fax | 805-845-3464
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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 | MFC41438
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License Number State | CA
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