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General NPI Number Information
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NPI Number | 1447946389
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Entity Type | Organization
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Legal Business Name | ADHOC THERAPY INC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1150 LIME DR
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City | SUNNYVALE
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State | CA
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Zip | 94087
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Country | US
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Telephone | 408-320-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 BLACKBERRY TER
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City | SUNNYVALE
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State | CA
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Zip | 94087-2064
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Country | US
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Telephone | 323-600-4111
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MR. CARLO MAGNO DONOR CATABIJAN
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Credential | LMFT
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Telephone | 408-320-5705
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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 |
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License Number State |
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