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General NPI Number Information
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NPI Number | 1366084808
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Entity Type | Individual
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Provider Name | DIYA SEN LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 15814 WINCHESTER BLVD STE 105
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City | LOS GATOS
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State | CA
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Zip | 95030-3333
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Country | US
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Telephone | 831-288-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 251
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City | BROOKDALE
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State | CA
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Zip | 95007-0251
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Country | US
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Telephone | 650-722-1538
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 115502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT125796
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License Number State | CA
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