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General NPI Number Information
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NPI Number | 1417203720
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Entity Type | Individual
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Provider Name | ALVARO RENE CONDE-RODRIGUEZ AMFT
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Gender | Male
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 205 39TH ST
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City | RICHMOND
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State | CA
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Zip | 94805-2212
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Country | US
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Telephone | 510-412-5930
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Fax | 510-412-0567
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Provider Business Mailing Address
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Address Line | 39428 STRATTON CMN
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City | FREMONT
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State | CA
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Zip | 94538-2093
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Country | US
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Telephone | 510-565-9127
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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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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