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General NPI Number Information
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NPI Number | 1841411295
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Entity Type | Organization
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Legal Business Name | CENTER FOR SPIRITUAL PSYCHOLOGY
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 108 S DARIEN DR
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City | ENCINITAS
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State | CA
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Zip | 92024-4235
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Country | US
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Telephone | 760-436-1301
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Fax | 760-943-9244
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Provider Business Mailing Address
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Address Line | 108 S DARIEN DR
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City | ENCINITAS
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State | CA
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Zip | 92024-4235
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Country | US
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Telephone | 760-436-1301
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Fax | 760-943-9244
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Authorized Official
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Title or Position | MEMBER AND MANAGER
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Name | DR. CINDY LOVEJOY
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Credential | MFT
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Telephone | 76043613011
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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 | MFC 28569
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License Number State | CA
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