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NPI 1033996632

NPI 1033996632 : PARINEETA CHANDWANI : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1033996632
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    Entity Type          |    Individual 
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    Provider Name        |    PARINEETA CHANDWANI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/08/2023
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    Last Update Date     |    08/07/2024
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Provider Practice Location Address
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    Address Line         |    1340 TULLY RD STE 301 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95122-3055
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    Country              |    US
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    Telephone            |    408-271-3900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1563 MISSION ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94103-2543
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    Country              |    US
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    Telephone            |    415-762-3700
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    Fax                  |    415-554-0159
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    AMFT148492
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    License Number State |    CA
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