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General NPI Number Information
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NPI Number | 1861500407
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Entity Type | Individual
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Provider Name | KATHERINE DEBRA TRUEX IMF
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 9719 LINCOLN VOLLAGE DR, SUITE 102
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City | SACRAMENTO
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State | CA
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Zip | 95827
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Country | US
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Telephone | 916-362-8292
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Fax | 916-362-8295
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Provider Business Mailing Address
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Address Line | 7848 OTTAWA WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-2601
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Country | US
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Telephone | 916-844-5190
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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 |
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License Number State |
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