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General NPI Number Information
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NPI Number | 1235795402
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Entity Type | Organization
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Legal Business Name | SALLY LEVY ALBERT MFT
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 626 BALBOA STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-533-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 626 BALBOA STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-533-8922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SALLY LEVY ALBERT
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Credential | MFT
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Telephone | 415-533-8922
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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 |
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License Number State |
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