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General NPI Number Information
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NPI Number | 1205337771
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Entity Type | Individual
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Provider Name | BRIAN WAI PSY.D
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Gender | Male
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1940 FRANCISCAN WAY
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City | ALAMEDA
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State | CA
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Zip | 94501-6007
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Country | US
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Telephone | 510-213-8328
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 FRANCISCAN WAY
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City | ALAMEDA
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State | CA
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Zip | 94501-6007
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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 |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35499
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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