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General NPI Number Information
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NPI Number | 1598987224
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Entity Type | Individual
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Provider Name | SILILO TOMINIKO MASIFILO
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 957 INDUSTRIAL RD STE B
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City | SAN CARLOS
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State | CA
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Zip | 94070-4152
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Country | US
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Telephone | 415-375-1629
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Fax | 415-208-0010
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Provider Business Mailing Address
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Address Line | 503 FLYNN AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2926
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Country | US
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Telephone | 650-368-2435
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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 |
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License Number State |
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