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General NPI Number Information
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NPI Number | 1164644811
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Entity Type | Organization
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Legal Business Name | CIRCLES COUNSELING SERVICES
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 1204 BURLINGAME AVE SUITE 5
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City | BURLINGAME
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State | CA
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Zip | 94010-4147
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Country | US
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Telephone | 650-490-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 405 PRIMROSE RD 209
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City | BURLINGAME
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State | CA
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Zip | 94010-4064
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS KELLY ANN ALVARES
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Credential |
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Telephone | 650-490-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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