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General NPI Number Information
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NPI Number | 1285069070
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Entity Type | Individual
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Provider Name | ANNINA L ALTOMARI LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 1950 ALAMEDA DE LAS PULGAS STE 157
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City | SAN MATEO
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State | CA
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Zip | 94403-1222
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Country | US
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Telephone | 650-985-7018
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Fax | 650-985-7019
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Provider Business Mailing Address
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Address Line | 1950 ALAMEDA DE LAS PULGAS STE 157
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City | SAN MATEO
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State | CA
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Zip | 94403-1222
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Country | US
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Telephone | 650-573-2773
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Fax | 650-525-1762
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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 | 107394
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License Number State | CA
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