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General NPI Number Information
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NPI Number | 1528183837
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Entity Type | Individual
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Provider Name | MR. DAVID SHRAGAI
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5625 COLLEGE AVE STE 210
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City | OAKLAND
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State | CA
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Zip | 94618-1585
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Country | US
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Telephone | 510-525-5482
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Fax |
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Provider Business Mailing Address
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Address Line | 555 CLAYTON AVE
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City | EL CERRITO
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State | CA
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Zip | 94530-3229
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Country | US
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Telephone | 510-525-5482
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Fax | 510-525-5482
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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 | MFC23196
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License Number State | CA
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