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General NPI Number Information
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NPI Number | 1417483264
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Entity Type | Organization
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Legal Business Name | BAY AREA FAMILY THERAPY SERVICES INC.
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1 HALLIDIE PLZ SUITE 700
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-2818
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Country | US
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Telephone | 415-460-7294
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Fax | 415-460-7294
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Provider Business Mailing Address
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Address Line | 1 HALLIDIE PLZ SUITE 700
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-2818
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Country | US
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Telephone | 415-460-7294
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Fax | 415-460-7294
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KEITH KAPASH
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Credential | MFT
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Telephone | 415-460-7294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 46140
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License Number State | CA
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