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General NPI Number Information
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NPI Number | 1093369423
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Entity Type | Individual
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Provider Name | CLAIRE MYERS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 630 DRAKE AVENUE CSD BUILDING
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City | MARIN CITY
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State | CA
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Zip | 94965
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Country | US
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Telephone | 415-383-2073
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Fax |
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Provider Business Mailing Address
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Address Line | 31 GIRARD AVE
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City | SAUSALITO
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State | CA
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Zip | 94965-1816
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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