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General NPI Number Information
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NPI Number | 1700918695
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Entity Type | Organization
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Legal Business Name | C F H P INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 42305 WASHINGTON ST SUITE 210
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City | PALM DESERT
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State | CA
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Zip | 92211
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Country | US
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Telephone | 760-772-4566
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Fax | 760-200-9431
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Provider Business Mailing Address
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Address Line | 42305 WASHINGTON ST SUITE 210
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City | PALM DESERT
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State | CA
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Zip | 92211
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Country | US
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Telephone | 760-772-4566
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Fax | 760-200-9431
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GAY MATHESON
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Credential | MFC 37294
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Telephone | 760-772-4566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MFC 37294
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License Number State | CA
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