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General NPI Number Information
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NPI Number | 1033778063
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Entity Type | Individual
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Provider Name | MAYA WEIR M.A.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 3230 VICHY AVE
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City | NAPA
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State | CA
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Zip | 94558-2114
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Country | US
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Telephone | 707-529-8226
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 TREAT AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5234
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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 |
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License Number State |
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