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General NPI Number Information
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NPI Number | 1407983802
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Entity Type | Individual
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Provider Name | GITY TABRIZTCHI BAXTER PHD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 EL CAMINO REAL
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-742-2219
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Fax | 650-742-3958
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Provider Business Mailing Address
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Address Line | 5854 BIRCH COURT
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City | OAKLAND
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State | CA
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Zip | 94618
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Country | US
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Telephone | 510-652-1569
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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