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General NPI Number Information
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NPI Number | 1942395140
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Entity Type | Individual
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Provider Name | ALEXANDER KAGAN LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 3430 BALMORAL DR STE 8
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City | SACRAMENTO
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State | CA
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Zip | 95821-6326
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Country | US
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Telephone | 916-607-7478
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Fax | 916-965-7478
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Provider Business Mailing Address
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Address Line | 7640 ROYAL STATE CT
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City | FAIR OAKS
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State | CA
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Zip | 95628
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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 |
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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 | MFC 42860
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License Number State | CA
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