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NPI 1114011723

NPI 1114011723 : JEFFREY S KAYE PH.D. : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1114011723
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY S KAYE PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    844 CALIFORNIA STREET 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94108-2315
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    Country              |    US
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    Telephone            |    415-362-8262
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    Fax                  |    415-382-6252
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Provider Business Mailing Address
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    Address Line         |    21 ACAPULCO COURT 
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    City                 |    NOVATO
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    State                |    CA
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    Zip                  |    94949-6365
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    Country              |    US
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    Telephone            |    415-382-8762
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    Fax                  |    415-382-6252
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY15476
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    License Number State |    CA
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