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General NPI Number Information
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NPI Number | 1114801438
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Entity Type | Organization
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Legal Business Name | EULA LYS DUNKIN, MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2082 UNION STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94123
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Country | US
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Telephone | 415-322-5867
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Fax |
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Provider Business Mailing Address
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Address Line | 5214F DIAMOND HEIGHTS BLVD # 3050
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-2175
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Country | US
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Telephone | 415-322-5867
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EULA LYS DUNKIN
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Credential | LMFT
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Telephone | 415-322-5867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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