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General NPI Number Information
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NPI Number | 1356671895
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Entity Type | Individual
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Provider Name | MONIQUE VAZIRE MFT
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Gender | Female
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 1059 EL MONTE AVE SUITE B
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4601
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Country | US
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Telephone | 650-248-1678
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Fax | 650-964-6994
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Provider Business Mailing Address
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Address Line | 3477 KENNETH DR
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City | PALO ALTO
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State | CA
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Zip | 94303-4219
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Country | US
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Telephone | 650-248-1678
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Fax | 650-964-6994
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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 | 42868
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License Number State | CA
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