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General NPI Number Information
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NPI Number | 1023299625
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Entity Type | Organization
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Legal Business Name | ELIZABETH BIGGART
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Dates
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Enumeration Date | 11/25/2007
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 241 S SAN ANTONIO RD
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City | LOS ALTOS
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State | CA
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Zip | 94022-3751
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Country | US
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Telephone | 650-322-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 241 S SAN ANTONIO RD
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City | LOS ALTOS
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State | CA
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Zip | 94022-3751
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Country | US
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Telephone | 650-322-1975
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ELIZABETH BIGGART
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Credential | PH.D.
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Telephone | 650-322-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY12269
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License Number State | CA
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