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General NPI Number Information
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NPI Number | 1467776187
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Entity Type | Individual
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Provider Name | LISA M NAVE MFT
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Gender | Female
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 902 CURTIS ST
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City | ALBANY
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State | CA
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Zip | 94706-2108
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Country | US
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Telephone | 415-272-4472
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Fax | 415-388-5573
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Provider Business Mailing Address
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Address Line | 41 SHELL RD
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City | MILL VALLEY
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State | CA
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Zip | 94941-1551
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Country | US
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Telephone | 415-272-4472
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Fax | 415-388-5573
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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 | MFC35617
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License Number State | CA
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