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General NPI Number Information
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NPI Number | 1881958890
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Entity Type | Individual
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Provider Name | CHRISTIE LYNN COTCHER LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5776 STONERIDGE MALL RD STE 240
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City | PLEASANTON
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State | CA
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Zip | 94588-2836
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Country | US
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Telephone | 925-400-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 6937 VILLAGE PKWY UNIT 2543
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City | DUBLIN
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State | CA
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Zip | 94568-6026
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Country | US
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Telephone | 925-400-9592
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF69134
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 69134
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT93450
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License Number State | CA
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