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General NPI Number Information
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NPI Number | 1386816593
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Entity Type | Individual
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Provider Name | EMILY HOLLANDER PSY.D
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | SAN QUENTIN REHABILITATION CENTER 100 MAIN STREET
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City | SAN QUENTIN
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State | CA
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Zip | 94964
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Country | US
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Telephone | 415-717-0335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18673
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City | OAKLAND
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State | CA
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Zip | 94619-0673
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Country | US
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Telephone | 510-788-0748
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22194
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License Number State | CA
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