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General NPI Number Information
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NPI Number | 1477370682
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Entity Type | Organization
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Legal Business Name | KAREN JAFFE
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1021 S EL CAMINO REAL
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City | SAN MATEO
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State | CA
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Zip | 94402-2801
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Country | US
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Telephone | 650-274-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 4113 SKYMONT DR
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City | BELMONT
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State | CA
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Zip | 94002-1243
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Country | US
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Telephone | 650-274-2280
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KAREN ANNE JAFFE
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Credential | MSW
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Telephone | 650-274-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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