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General NPI Number Information
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NPI Number | 1114595907
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Entity Type | Organization
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Legal Business Name | SUNNYVALE PSYCHIATRY, P.C.
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 121 W WASHINGTON AVE STE 212
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City | SUNNYVALE
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State | CA
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Zip | 94086-1101
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Country | US
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Telephone | 650-380-3823
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Fax | 833-654-0705
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Provider Business Mailing Address
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Address Line | 121 W WASHINGTON AVE STE 212
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City | SUNNYVALE
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State | CA
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Zip | 94086-1101
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Country | US
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Telephone | 650-380-3823
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Fax | 833-654-0705
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. RACHEL REBECCA GOLDSTEIN
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Credential | MD, MA
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Telephone | 650-380-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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