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General NPI Number Information
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NPI Number | 1255037206
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Entity Type | Individual
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Provider Name | JOANNA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 4537 EDWARDS LN
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4734
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Country | US
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Telephone | 510-690-1330
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Fax | 510-690-1331
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Provider Business Mailing Address
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Address Line | 19346 MEEKLAND AVE APT 15
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City | HAYWARD
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State | CA
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Zip | 94541-1952
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Country | US
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Telephone | 510-666-7823
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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