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General NPI Number Information
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NPI Number | 1437413184
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Entity Type | Individual
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Provider Name | ESMERALDA VERMA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 2401 MERCED ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4228
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Country | US
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Telephone | 510-618-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 4104 24TH ST UNIT 1008
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-3615
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Country | US
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Telephone | 510-618-5990
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW81720
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License Number State | CA
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