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General NPI Number Information
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NPI Number | 1588796809
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Entity Type | Individual
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Provider Name | VALERIE JOANNE KEIM MFT INTERN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 140 MAYHEW WAY
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4337
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Country | US
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Telephone | 925-932-0150
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Fax | 925-210-0882
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Provider Business Mailing Address
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Address Line | 4140 39TH AVE
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City | OAKLAND
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State | CA
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Zip | 94619-2206
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Country | US
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Telephone | 510-531-1986
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 45457
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License Number State | CA
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