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General NPI Number Information
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NPI Number | 1366574659
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Entity Type | Individual
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Provider Name | TERESE G. SCHULMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 21 TAMAL VISTA BLVD SUITE 201
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City | CORTE MADERA
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State | CA
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Zip | 94925-1130
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Country | US
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Telephone | 510-655-3975
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 COLLEGE AVE SUITE 208A
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City | OAKLAND
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State | CA
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Zip | 94618-1585
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Country | US
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Telephone | 510-655-3975
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 5221
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW5221
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License Number State | CA
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