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General NPI Number Information
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NPI Number | 1033306980
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Entity Type | Individual
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Provider Name | ALFREDO ZEPEDA
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Gender | Male
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 375 89TH ST
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City | DALY CITY
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State | CA
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Zip | 94015-1802
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Country | US
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Telephone | 415-301-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 375 89TH ST
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City | DALY CITY
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State | CA
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Zip | 94015-1802
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Country | US
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Telephone | 415-301-8650
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 29140
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License Number State | CA
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