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General NPI Number Information
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NPI Number | 1932444056
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Entity Type | Individual
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Provider Name | MELANIE J CAUBLE MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1400 COLEMAN AVE STE F23
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City | SANTA CLARA
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State | CA
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Zip | 95050-4359
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Country | US
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Telephone | 408-418-6638
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Fax |
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Provider Business Mailing Address
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Address Line | 10561 30TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-7947
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Country | US
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Telephone | 408-365-4325
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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 | MFC52489
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License Number State | CA
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