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General NPI Number Information
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NPI Number | 1871626622
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Entity Type | Individual
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Provider Name | ROBERT J. GETTY MFT
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 STONEHOUSE CT
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City | ROSEVILLE
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State | CA
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Zip | 95678-1904
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Country | US
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Telephone | 916-577-7980
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 424
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City | LOOMIS
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State | CA
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Zip | 95650-0424
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Country | US
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Telephone | 916-577-7980
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Fax | 916-577-7987
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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 | MFC25496
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License Number State | CA
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