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NPI 1770616005

NPI 1770616005 : JEANINE F SACHS MS., MFT : POWAY, CA

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General NPI Number Information
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    NPI Number           |    1770616005
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    Entity Type          |    Individual 
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    Provider Name        |    JEANINE F SACHS MS., MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    05/02/2013
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Provider Practice Location Address
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    Address Line         |    13625 ADRIAN ST. 
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    City                 |    POWAY
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    State                |    CA
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    Zip                  |    92064
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    Country              |    US
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    Telephone            |    858-231-3489
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    Fax                  |    858-679-9390
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Provider Business Mailing Address
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    Address Line         |    13625 ADRIAN ST. 
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    City                 |    POWAY
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    State                |    CA
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    Zip                  |    92064
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    Country              |    US
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    Telephone            |    858-231-3489
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    Fax                  |    858-679-9390
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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       |    34188
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    License Number State |    CA
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