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General NPI Number Information
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NPI Number | 1568910230
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Entity Type | Organization
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Legal Business Name | YAEL MELAMED
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 1738 UNION ST 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4441
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Country | US
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Telephone | 415-890-3034
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 UNION ST 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4441
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Country | US
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Telephone | 415-890-3034
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Fax |
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Authorized Official
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Title or Position | MFT
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Name | YAEL MELAMED
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Credential | MFT
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Telephone | 415-890-3034
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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 | 79282
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License Number State | CA
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