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General NPI Number Information
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NPI Number | 1578750071
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Entity Type | Individual
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Provider Name | ANN MARIE MALDONADO M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 1039 OAKPOINT DR
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City | BAY POINT
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State | CA
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Zip | 94565-7620
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Country | US
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Telephone | 925-642-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 29 MOZDEN LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3379
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Country | US
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Telephone | 925-348-4788
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Fax |
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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 |
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License Number State | CA
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