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General NPI Number Information
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NPI Number | 1609745041
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Entity Type | Organization
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Legal Business Name | AWARENESS IS ACTION PSYCHOTHERAPY PC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 870 MARKET ST STE 915
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-2904
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Country | US
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Telephone | 415-779-5073
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S ELLSWORTH AVE UNIT 1501
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City | SAN MATEO
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State | CA
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Zip | 94401-6020
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Country | US
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Telephone | 415-779-5073
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MATTHEW STIMMEL
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Credential | PHD
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Telephone | 917-974-0802
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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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