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General NPI Number Information
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NPI Number | 1104341718
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Entity Type | Organization
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Legal Business Name | DANILA MUSANTE
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 835 COLLEGE AVE
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City | KENTFIELD
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State | CA
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Zip | 94904-2551
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Country | US
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Telephone | 415-485-9649
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 AYALA AVE
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City | OAKLAND
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State | CA
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Zip | 94609-1506
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Country | US
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Telephone | 510-421-1973
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DANILA MUSANTE
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Credential | PHD
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Telephone | 510-560-4218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY28066
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License Number State | CA
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