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General NPI Number Information
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NPI Number | 1487783791
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Entity Type | Individual
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Provider Name | ALISON URDAN M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 05/26/2019
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Provider Practice Location Address
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Address Line | 5737 THORNHILL DR
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City | OAKLAND
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State | CA
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Zip | 94611-2144
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Country | US
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Telephone | 510-587-3231
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Fax | 510-587-3231
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Provider Business Mailing Address
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Address Line | 614 SANTA CLARA AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-3316
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Country | US
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Telephone | 510-649-9320
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Fax | 510-521-5599
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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 | MFC39537
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License Number State | CA
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