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General NPI Number Information
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NPI Number | 1326914649
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Entity Type | Individual
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Provider Name | PHOEBE FRANCES PERRY CHARTOCK
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2325 CLEMENT AVE STE A
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City | ALAMEDA
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State | CA
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Zip | 94501-7061
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Country | US
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Telephone | 510-629-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 40TH ST APT 3304
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City | EMERYVILLE
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State | CA
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Zip | 94608-3750
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Country | US
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Telephone | 360-704-8661
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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