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General NPI Number Information
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NPI Number | 1073234555
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Entity Type | Individual
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Provider Name | MS. JULIE WARE
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 166 SANTA CLARA AVE STE 205
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City | OAKLAND
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State | CA
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Zip | 94610-1323
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Country | US
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Telephone | 510-601-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 5758 GEARY BLVD PMB 321 PMB 321
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City | SAN FRANCISCO
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State | CA
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Zip | 94121
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Country | US
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Telephone | 415-264-0288
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17617
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License Number State | CA
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