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General NPI Number Information
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NPI Number | 1871637819
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Entity Type | Individual
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Provider Name | MARGARET BRAVER LINDT MFT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 645 MAIN ST STE A
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City | MORRO BAY
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State | CA
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Zip | 93442-2200
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Country | US
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Telephone | 805-534-9031
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Fax | 805-534-9032
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Provider Business Mailing Address
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Address Line | 448 MITCHELL DR
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City | LOS OSOS
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State | CA
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Zip | 93402-2024
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Country | US
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Telephone | 559-280-3047
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Fax | 805-534-9032
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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 | MFC29398
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License Number State | CA
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