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General NPI Number Information
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NPI Number | 1992907653
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Entity Type | Individual
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Provider Name | VIRGINIA CAROL CAMMARANO M.A., L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23030 LYONS AVE SUITE 205
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City | NEWHALL
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State | CA
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Zip | 91321-2752
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Country | US
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Telephone | 661-755-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 29353 HIDDEN OAK PL
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City | SANTA CLARITA
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State | CA
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Zip | 91387-5907
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Country | US
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Telephone | 661-755-6969
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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 | MFT144059
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License Number State | CA
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