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NPI 1407445471

NPI 1407445471 : ALBANI GROUP FAMILY AND CHILD THERAPY INC. DBA THE ALBANI GROUP : MILL VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1407445471
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBANI GROUP FAMILY AND CHILD THERAPY INC. DBA THE ALBANI GROUP 
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Dates
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    Enumeration Date     |    01/14/2021
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    Last Update Date     |    11/29/2021
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Provider Practice Location Address
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    Address Line         |    131 CAMINO ALTO AVE E-3
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    City                 |    MILL VALLEY
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    State                |    CA
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    Zip                  |    94941
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    Country              |    US
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    Telephone            |    415-322-1599
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    131 CAMINO ALTO AVE E-3
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    City                 |    MILL VALLEY
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    State                |    CA
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    Zip                  |    94941
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    Country              |    US
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    Telephone            |    415-322-1599
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR
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    Name                 |     SASHA  ALBANI 
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    Credential           |    MFT
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    Telephone            |    415-515-2409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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