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General NPI Number Information
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NPI Number | 1699846873
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Entity Type | Individual
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Provider Name | CAROLYN ROWE DANFORTH LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 EUREKA SQ SUITE 129
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City | PACIFICA
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State | CA
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Zip | 94044-2654
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Country | US
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Telephone | 650-747-9448
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Fax | 650-747-9637
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Provider Business Mailing Address
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Address Line | PO BOX 742
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City | LA HONDA
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State | CA
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Zip | 94020-0742
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Country | US
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Telephone | 650-747-9551
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Fax | 650-747-9637
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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 | MFC37201
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License Number State | CA
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