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General NPI Number Information
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NPI Number | 1932472511
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Entity Type | Individual
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Provider Name | JENNIFER SUAPAIA M.S. L.M.F.T
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Gender | Female
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR STE 165
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City | OXNARD
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State | CA
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Zip | 93036-2612
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Country | US
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Telephone | 805-981-4233
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Fax | 805-981-9268
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Provider Business Mailing Address
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Address Line | 299 W HILLCREST DR STE 110
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7824
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Country | US
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Telephone | 805-293-4222
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Fax | 805-583-8064
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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 | 86408
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License Number State | CA
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