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General NPI Number Information
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NPI Number | 1104387059
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Entity Type | Organization
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Legal Business Name | SF BAY MARRIAGE & FAMILY THERAPIST GROUP, P.C.
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 1307 S MARY AVE STE 250
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City | SUNNYVALE
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State | CA
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Zip | 94087-3071
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Country | US
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Telephone | 650-823-4537
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 MIRAMONTE AVE UNIT 3644
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City | LOS ALTOS
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State | CA
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Zip | 94024-9025
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Country | US
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Telephone | 650-823-4537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MS. HEENA PARIKH
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Credential | LMFT
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Telephone | 650-823-4537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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