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General NPI Number Information
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NPI Number | 1821154030
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Entity Type | Individual
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Provider Name | JILL CATHERINE FLEMING MFT
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4180 LA JOLLA VILLAGE DR STE 240-250
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City | LA JOLLA
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State | CA
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Zip | 92037-1402
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Country | US
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Telephone | 858-277-2659
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Fax | 858-779-2511
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Provider Business Mailing Address
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Address Line | 1400 VETERANS BLVD
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2612
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Country | US
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Telephone | 650-299-4767
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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 | MFC39229
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License Number State | CA
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