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NPI 1326051871

NPI 1326051871 : GAIL WEST LMFT #21010 : MORGAN HILL, CA

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General NPI Number Information
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    NPI Number           |    1326051871
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    Entity Type          |    Individual 
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    Provider Name        |    GAIL WEST LMFT #21010
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    17705 HALE AVE SUITE F2
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    City                 |    MORGAN HILL
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    State                |    CA
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    Zip                  |    95037-4340
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    Country              |    US
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    Telephone            |    408-779-8874
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    Fax                  |    408-776-8480
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Provider Business Mailing Address
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    Address Line         |    17705 HALE AVE SUITE F2
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    City                 |    MORGAN HILL
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    State                |    CA
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    Zip                  |    95037-4340
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    Country              |    US
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    Telephone            |    408-779-8874
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    Fax                  |    408-776-8480
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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       |    MFT21010
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    License Number State |    CA
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