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General NPI Number Information
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NPI Number | 1346316510
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Entity Type | Individual
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Provider Name | JANET S. WANER PH.D
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2919 SACRAMENTO ST # 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2116
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Country | US
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Telephone | 415-441-7896
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Fax | 415-499-0729
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Provider Business Mailing Address
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Address Line | 860 APPLEBERRY DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1208
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Country | US
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Telephone | 415-499-0720
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Fax | 415-499-0729
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY11579
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License Number State | CA
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