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General NPI Number Information
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NPI Number | 1053697821
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Entity Type | Organization
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Legal Business Name | DATASPAN SYSTEMS, INC.
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 560 OXFORD AVE # 8X
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City | PALO ALTO
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State | CA
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Zip | 94306-1153
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Country | US
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Telephone | 650-813-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 936 EL CAJON WAY
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City | PALO ALTO
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State | CA
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Zip | 94303-3408
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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 | PRESIDENT
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Name | MR. ABRAHAM BAR
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Credential |
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Telephone | 650-494-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3332
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License Number State | CA
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