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General NPI Number Information
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NPI Number | 1770853103
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Entity Type | Organization
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Legal Business Name | EMPATHY THERAPY, INC
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 12/30/2012
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Provider Practice Location Address
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Address Line | 1909 CAPITOL AVE #100
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City | SACRAMENTO
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State | CA
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Zip | 95811-4235
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Country | US
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Telephone | 916-760-8197
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Fax | 888-661-6285
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Provider Business Mailing Address
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Address Line | 5960 S LAND PARK DR #326
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City | SACRAMENTO
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State | CA
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Zip | 95822-3313
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Country | US
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Telephone | 916-760-8197
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Fax | 888-661-6285
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Authorized Official
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Title or Position | PRESIDENT/FOUNDER/OWNER/PHYSICIAN
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Name | DR. MARK CHOFLA
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Credential | D.O.
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Telephone | 916-760-8197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A8365
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License Number State | CA
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