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General NPI Number Information
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NPI Number | 1780489237
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Entity Type | Individual
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Provider Name | MICHAEL KLOTZ JD, MA, AMFT
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Gender | Male
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1062 MURRIETA BLVD
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City | LIVERMORE
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State | CA
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Zip | 94550-4111
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Country | US
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Telephone | 925-784-0415
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Fax |
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Provider Business Mailing Address
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Address Line | 818 SAINT ROCH AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70117-7819
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Country | US
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Telephone | 415-623-0804
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Fax |
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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 | 123240
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License Number State | CA
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