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General NPI Number Information
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NPI Number | 1275176265
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Entity Type | Organization
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Legal Business Name | MOMENTUM FOR HEALTH
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2115 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-1141
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Country | US
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Telephone | 669-289-7700
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Fax | 408-977-0145
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Provider Business Mailing Address
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Address Line | 1922 THE ALAMEDA STE 316
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City | SAN JOSE
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State | CA
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Zip | 95126-1461
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Country | US
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Telephone | 408-261-7777
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Fax | 408-642-6052
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL SCATES
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Credential |
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Telephone | 408-261-7777
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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 |
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License Number State |
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