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General NPI Number Information
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NPI Number | 1316099633
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Entity Type | Individual
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Provider Name | LUCY A BOAS M.F.T
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 414 GOUGH ST STE 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-4464
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Country | US
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Telephone | 415-820-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 SACRAMENTO ST 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1914
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Country | US
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Telephone | 415-820-1401
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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 | MFC38342
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License Number State | CA
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