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General NPI Number Information
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NPI Number | 1285002725
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Entity Type | Individual
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Provider Name | ERMAL ERI CELA
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Gender | Male
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 1179 N MCDOWELL BLVD SUITE A
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City | PETALUMA
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State | CA
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Zip | 94954-6559
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Country | US
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Telephone | 707-835-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 424 STATEN AVE 103
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City | OAKLAND
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State | CA
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Zip | 94610-4961
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Country | US
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Telephone |
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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 | 63072
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3937
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License Number State | FL
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