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NPI 1033636527

NPI 1033636527 : KIRSTEN MAIER MA : OAKLAND, CA

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General NPI Number Information
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    NPI Number           |    1033636527
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    Entity Type          |    Individual 
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    Provider Name        |    KIRSTEN MAIER MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2017
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    Last Update Date     |    08/24/2017
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Provider Practice Location Address
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    Address Line         |    1425 LEIMERT BLVD STE 300 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94602-1808
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    Country              |    US
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    Telephone            |    510-497-4174
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18 COLLEGE TER 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94112-1117
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    Country              |    US
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    Telephone            |    
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSB94022788
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    License Number State |    CA
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