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General NPI Number Information
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NPI Number | 1396545539
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Entity Type | Organization
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Legal Business Name | YOUNG WOMEN'S FREEDOM CENTER
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1400 PARKMOOR AVE STE 206
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City | SAN JOSE
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State | CA
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Zip | 95126-3798
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Country | US
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Telephone | 415-703-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 832 FOLSOM ST STE 700
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1142
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Country | US
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Telephone | 415-703-8800
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMIKA MOTA
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Credential |
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Telephone | 415-703-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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