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General NPI Number Information
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NPI Number | 1871818765
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Entity Type | Individual
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Provider Name | SHARON KAY GRABLE MFT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 2101 STONE BLVD. STE 115 HEALING PATHWAYS MEDICAL CLINIC, INC
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691
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Country | US
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Telephone | 916-376-8416
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 ERIC RD
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City | CARMICHAEL
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State | CA
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Zip | 95608-5648
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Country | US
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Telephone | 916-550-0801
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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 | 28700
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License Number State | CA
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