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General NPI Number Information
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NPI Number | 1598420366
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Entity Type | Organization
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Legal Business Name | SOFT HEART PSYCHOLOGY
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 1941 JACKSON ST # 23
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City | OAKLAND
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State | CA
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Zip | 94612-4600
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Country | US
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Telephone | 510-214-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 1941 JACKSON ST # 23
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City | OAKLAND
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State | CA
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Zip | 94612-4600
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Country | US
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Telephone | 510-214-6756
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. HANNAH JOHARCHI
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Credential | PHD
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Telephone | 510-214-6756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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