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General NPI Number Information
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NPI Number | 1568996494
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Entity Type | Organization
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Legal Business Name | BLUE HUMMING THERAPY
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 447 SUTTER ST STE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4632
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Country | US
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Telephone | 415-909-8272
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Fax |
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Provider Business Mailing Address
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Address Line | 447 SUTTER ST STE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANAMI YAMAMOTO
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Credential |
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Telephone | 415-909-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LMFT 94196
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License Number State | CA
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