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General NPI Number Information
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NPI Number | 1477690253
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Entity Type | Individual
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Provider Name | MATTHEW GERST PHD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 17705 HALE AVE SUITE F-3
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City | MORGAN HILL
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State | CA
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Zip | 95037-4340
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Country | US
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Telephone | 408-776-1990
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Fax | 408-776-1901
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Provider Business Mailing Address
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Address Line | 509 7TH ST., 2ND FLOOR
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City | SANTA ROSA
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State | CA
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Zip | 95401
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Country | US
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Telephone | 707-978-2944
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Fax | 408-776-1901
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY13460
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY13460
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY13460
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License Number State | CA
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