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General NPI Number Information
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NPI Number | 1588541254
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Entity Type | Individual
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Provider Name | SYLVIA BRANCA AMFT
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Gender |
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 901 CAMPISI WAY STE 245
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City | CAMPBELL
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State | CA
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Zip | 95008-2348
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Country | US
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Telephone | 408-502-6532
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SHARON CT
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City | LOS GATOS
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State | CA
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Zip | 95032-3818
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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 |
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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 | 156074
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License Number State | CA
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