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General NPI Number Information
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NPI Number | 1184913253
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Entity Type | Individual
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Provider Name | JOANN TOTAH
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 1520 PARKMOOR AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95128-2422
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Country | US
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Telephone | 408-241-9911
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Fax | 408-241-7788
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Provider Business Mailing Address
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Address Line | 1520 PARKMOOR AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95128-2422
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Country | US
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Telephone | 408-241-9911
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Fax | 408-241-7788
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-11-7951
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License Number State | CA
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