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General NPI Number Information
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NPI Number | 1033233457
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Entity Type | Individual
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Provider Name | JAZMIN CATALINA BUNTIC LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 20863 STEVENS CREEK BLVD SUITE 580
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City | CUPERTINO
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State | CA
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Zip | 95014-2113
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Country | US
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Telephone | 408-236-2238
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Fax | 408-236-2238
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Provider Business Mailing Address
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Address Line | 2170 STEVENS CREEK BLVD SUITE 1600
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City | CUPERTINO
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State | CA
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Zip | 95015
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Country | US
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Telephone | 408-236-2238
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Fax | 408-236-2238
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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 | CA 40045
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License Number State | CA
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