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General NPI Number Information
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NPI Number | 1053679340
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Entity Type | Individual
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Provider Name | MARIAN TOYOKO OKAMURA LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 6097 CLAREMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94618-1222
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Country | US
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Telephone | 925-890-6060
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Fax | 925-335-9078
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Provider Business Mailing Address
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Address Line | 120 MIDHILL RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4202
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Country | US
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Telephone | 925-890-6060
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Fax | 925-335-9078
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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 | LCS10845
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License Number State | CA
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