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General NPI Number Information
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NPI Number | 1356641666
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Entity Type | Organization
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Legal Business Name | THE COUPLE CENTER, A FAMILY COUNS. CORP
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 6239 COLLEGE AVE SUITE 204
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City | OAKLAND
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State | CA
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Zip | 94618-1329
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Country | US
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Telephone | 510-277-3111
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Fax | 415-642-7726
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Provider Business Mailing Address
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Address Line | 197 PORTOLA DR
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-1585
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Country | US
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Telephone | 510-277-3111
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Fax | 415-642-7726
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. BARBARA ANN SWENSON
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Credential | PH.D.
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Telephone | 510-277-3111
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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 | MFC23224
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License Number State | CA
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