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General NPI Number Information
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NPI Number | 1932688447
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Entity Type | Organization
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Legal Business Name | CAROL NORMANDI
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 30 N SAN PEDRO RD STE 265
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City | SAN RAFAEL
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State | CA
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Zip | 94903-4153
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Country | US
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Telephone | 415-488-1104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 819
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City | WOODACRE
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State | CA
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Zip | 94973-0819
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CAROL NORMANDI
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Credential | LMFT
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Telephone | 415-570-2270
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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 |
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License Number State |
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