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General NPI Number Information
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NPI Number | 1932072105
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Entity Type | Individual
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Provider Name | KATHRYN PEDERSON
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 629 STATE ST STE 249
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City | SANTA BARBARA
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State | CA
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Zip | 93101-7072
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Country | US
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Telephone | 805-951-9180
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 E THOUSAND OAKS BLVD UNIT 4361
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City | THOUSAND OAKS
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State | CA
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Zip | 91359-7951
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Country | US
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Telephone | 805-242-2271
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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 | 136987
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License Number State | CA
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