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General NPI Number Information
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NPI Number | 1457553000
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Entity Type | Individual
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Provider Name | ALLYSON M HOLMES-KNIGHT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 3301 E 12TH ST SUITE 259
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City | OAKLAND
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State | CA
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Zip | 94601-3424
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Country | US
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Telephone | 510-269-9121
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Fax | 510-269-9031
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Provider Business Mailing Address
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Address Line | 2548 JACOBS ST
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City | HAYWARD
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State | CA
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Zip | 94541-3384
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Country | US
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Telephone | 510-432-0422
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 27770
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 27770
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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