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General NPI Number Information
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NPI Number | 1104976281
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Entity Type | Individual
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Provider Name | JEFFREY ALLEN HYLTON LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 100 S. ELLSWORTH AVENUE SUITE 511
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City | SAN MATEO
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State | CA
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Zip | 94401-2847
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Country | US
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Telephone | 650-342-3078
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Fax | 650-341-7935
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Provider Business Mailing Address
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Address Line | 633 EDNA WAY
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City | SAN MATEO
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State | CA
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Zip | 94402-2607
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Country | US
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Telephone | 650-342-3078
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Fax | 650-341-7935
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 7866
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License Number State | CA
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