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General NPI Number Information
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NPI Number | 1144455361
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Entity Type | Individual
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Provider Name | EMILY TEJANI MD MPH
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 06/18/2016
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Provider Practice Location Address
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Address Line | 45 SAN CLEMENTE DR SUITE D230E
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City | CORTE MADERA
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State | CA
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Zip | 94925-1244
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Country | US
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Telephone | 415-510-2204
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Fax |
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Provider Business Mailing Address
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Address Line | 45 SAN CLEMENTE DR SUITE D230E
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City | CORTE MADERA
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State | CA
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Zip | 94925-1244
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Country | US
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Telephone | 415-510-2204
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 129789
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License Number State | CA
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