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General NPI Number Information
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NPI Number | 1003765512
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Entity Type | Organization
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Legal Business Name | RESONANT SOURCE THERAPY, TRAINING AND CONSULTATION
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 445 BELLEVUE AVE STE 202
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City | OAKLAND
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State | CA
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Zip | 94610-4923
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Country | US
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Telephone | 347-489-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 CEDAR ST APT B
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City | BERKELEY
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State | CA
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Zip | 94703-1141
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Country | US
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Telephone | 347-489-1996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND FOUNDER
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Name | TAUNYA MICHELLE BLACK
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Credential | MFT
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Telephone | 347-489-1996
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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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