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General NPI Number Information
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NPI Number | 1124250337
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Entity Type | Individual
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Provider Name | SONIA BELLO MS IN COUNSELING PSY
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 600 ELM ST SUITE 212
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City | SAN CARLOS
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State | CA
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Zip | 94070-3018
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Country | US
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Telephone | 650-591-9623
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Fax | 650-591-4163
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Provider Business Mailing Address
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Address Line | 78 NAPLES ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1609
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Country | US
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Telephone | 415-819-0104
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 86056
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License Number State | CA
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