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General NPI Number Information
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NPI Number | 1841549979
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Entity Type | Individual
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Provider Name | KARIE L KLIM MFT
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 170 FARMERS LANE SUITE 6B
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City | SANTA ROSA
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State | CA
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Zip | 95405-4773
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Country | US
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Telephone | 707-888-0106
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Fax | 707-539-8890
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | SAINT MARIES
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State | ID
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Zip | 83861-0367
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Country | US
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Telephone | 707-888-0106
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Fax | 707-539-8890
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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 | LMFT-8721
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC101425
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 101425
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License Number State | CA
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