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General NPI Number Information
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NPI Number | 1083231773
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Entity Type | Organization
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Legal Business Name | OPEN DOORS THERAPY, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 260 SHERIDAN AVE STE B10
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City | PALO ALTO
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State | CA
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Zip | 94306-2042
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Country | US
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Telephone | 650-681-1548
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Fax | 650-681-1552
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Provider Business Mailing Address
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Address Line | 580 ARASTRADERO RD APT 603
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City | PALO ALTO
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State | CA
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Zip | 94306-3947
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Country | US
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Telephone | 650-681-1548
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Fax | 650-681-1552
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TASHA OSWALD
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Credential | PHD
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Telephone | 650-681-1548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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