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General NPI Number Information
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NPI Number | 1093462434
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Entity Type | Individual
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Provider Name | ALESSANDRA LANDGRAF
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Gender | Female
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Dates
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Enumeration Date | 03/06/2022
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 881 FREMONT AVE STE B8
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City | LOS ALTOS
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State | CA
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Zip | 94024-5637
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Country | US
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Telephone | 650-665-9607
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Fax |
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Provider Business Mailing Address
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Address Line | 290 IOOF AVE
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City | GILROY
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State | CA
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Zip | 95020-5204
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Country | US
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Telephone | 425-241-9847
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT136187
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License Number State | CA
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