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General NPI Number Information
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NPI Number | 1396122438
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Entity Type | Organization
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Legal Business Name | DANIELA KOENIG MA
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 3253 STEINER ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-3362
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Country | US
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Telephone | 415-255-2551
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40272
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City | SAN FRANCISCO
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State | CA
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Zip | 94140-0272
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELA K KOENIG
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Credential | MFT
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Telephone | 415-255-2551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 83677
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License Number State | CA
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