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General NPI Number Information
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NPI Number | 1265916290
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Entity Type | Individual
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Provider Name | DEMETRY PARIS APOSTLE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2018
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Last Update Date | 09/15/2018
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Provider Practice Location Address
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Address Line | 870 MARKET ST STE 357
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3030
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Country | US
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Telephone | 415-529-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 17 YARROW LN
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City | NOVATO
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State | CA
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Zip | 94947-4926
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Country | US
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Telephone | 415-529-0281
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY30341
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License Number State | CA
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