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NPI 1881898146

NPI 1881898146 : MARK A GEE MFT : SONORA, CA

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General NPI Number Information
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    NPI Number           |    1881898146
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    Entity Type          |    Individual 
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    Provider Name        |    MARK A GEE MFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2007
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    Last Update Date     |    08/16/2011
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Provider Practice Location Address
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    Address Line         |    230 S SHEPHERD ST SUITE H
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    City                 |    SONORA
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    State                |    CA
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    Zip                  |    95370-5038
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    Country              |    US
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    Telephone            |    209-768-3059
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    Fax                  |    209-533-7007
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Provider Business Mailing Address
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    Address Line         |    20470 CHARLOTTE CT 
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    City                 |    SOULSBYVILLE
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    State                |    CA
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    Zip                  |    95372-9724
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    Country              |    US
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    Telephone            |    209-532-2127
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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       |    MFC21411
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    License Number State |    CA
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