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General NPI Number Information
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NPI Number | 1881846061
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Entity Type | Individual
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Provider Name | MR. KIEFER RICH
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 3636 5TH AVE SUITE 100
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City | SAN DIEGO
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State | CA
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Zip | 92103-4281
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Country | US
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Telephone | 619-997-4699
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Fax | 619-327-4110
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Provider Business Mailing Address
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Address Line | 3288 ADAMS AVE UNIT 161257
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City | SAN DIEGO
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State | CA
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Zip | 92176-7001
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Country | US
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Telephone | 619-752-4666
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Fax | 619-327-4110
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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 | 53627
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License Number State | CA
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