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General NPI Number Information
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NPI Number | 1447268875
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Entity Type | Individual
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Provider Name | ADRIANA S. RUSSELL M.S., MFT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2910 CAMINO DIABLO SUITE 200
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3997
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Country | US
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Telephone | 925-945-1485
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Fax | 925-969-0544
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Provider Business Mailing Address
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Address Line | 2910 CAMINO DIABLO SUITE 200
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3997
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Country | US
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Telephone | 925-945-1485
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Fax | 925-969-0544
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 32978
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License Number State | CA
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