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General NPI Number Information
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NPI Number | 1750525556
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Entity Type | Organization
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Legal Business Name | SOCIETY FOR ADVANCEMENT OF GLOBAL EDUCATION, INC.
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 4140 OCEANSIDE BLVD SUITE 159 NUMBER 112
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City | OCEANSIDE
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State | CA
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Zip | 92056-6005
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Country | US
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Telephone | 760-594-1477
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Fax | 760-806-4831
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Provider Business Mailing Address
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Address Line | 4140 OCEANSIDE BLVD SUITE 159 NUMBER 112
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City | OCEANSIDE
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State | CA
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Zip | 92056-6005
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Country | US
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Telephone | 760-594-1477
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Fax | 760-806-4831
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JOSEPH B KENNEDY SR.
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Credential | PH.D.
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Telephone | 760-594-1477
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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 | 712
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License Number State | CA
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