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General NPI Number Information
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NPI Number | 1003953985
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Entity Type | Individual
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Provider Name | BARBARA ALLEN MAKI MFT
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 39217 LIBERTY ST STE B-10
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City | FREMONT
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State | CA
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Zip | 94538-1501
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Country | US
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Telephone | 510-791-3322
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Fax | 519-791-3325
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Provider Business Mailing Address
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Address Line | 827 LONGFELLOW DR
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City | FREMONT
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State | CA
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Zip | 94539-6311
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Country | US
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Telephone | 510-657-0924
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Fax | 510-657-0924
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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 | MFT35873
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License Number State | CA
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