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General NPI Number Information
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NPI Number | 1477146389
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Entity Type | Organization
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Legal Business Name | TEAL FIGS MARRIAGE AND FAMILY COUNSELING INC.
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1131 IRVING ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2108
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Country | US
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Telephone | 415-967-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 IRVING ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INDEPENDENT CONTRACTOR
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Name | JENNY HAN
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Credential |
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Telephone | 303-868-3045
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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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