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General NPI Number Information
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NPI Number | 1245560333
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Entity Type | Individual
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Provider Name | DEANNE M EDWARDS MFT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2268 WESTBOROUGH BLVD STE 302
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5439
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Country | US
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Telephone | 951-522-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ESPLANADE AVE APT 36
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City | PACIFICA
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State | CA
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Zip | 94044-1325
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Country | US
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Telephone | 951-522-0880
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC38136
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License Number State | CA
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