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General NPI Number Information
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NPI Number | 1982468781
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 344 PLACERVILLE DR STE 11
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City | PLACERVILLE
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State | CA
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Zip | 95667-3971
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Country | US
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Telephone | 530-295-4211
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Fax | 530-626-6895
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Provider Business Mailing Address
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Address Line | 344 PLACERVILLE DR STE 11
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City | PLACERVILLE
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State | CA
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Zip | 95667-3971
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Country | US
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Telephone | 530-295-4211
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Fax | 530-626-6895
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINA CONSTANCIO
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Credential |
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Telephone | 530-295-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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