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General NPI Number Information
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NPI Number | 1437406915
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Entity Type | Organization
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Legal Business Name | COMMUNITY CENTER FOR HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 744 SAN ANTONIO RD SUITE # 22/24
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City | PALO ALTO
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State | CA
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Zip | 94303-4632
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Country | US
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Telephone | 650-855-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 744 SAN ANTONIO RD SUITE # 22/24
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City | PALO ALTO
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State | CA
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Zip | 94303-4632
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Country | US
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Telephone | 650-855-8898
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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 | MS. DIANA JO LINN
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Credential | MFT
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Telephone | 650-855-8898
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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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