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General NPI Number Information
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NPI Number | 1629356589
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Entity Type | Organization
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Legal Business Name | ALMADEN VALLEY COUNSELING SERVICE
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 6529 CROWN BLVD STE D
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City | SAN JOSE
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State | CA
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Zip | 95120-2905
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Country | US
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Telephone | 408-997-0200
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Fax | 408-997-0200
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Provider Business Mailing Address
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Address Line | 6529 CROWN BLVD STE D
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City | SAN JOSE
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State | CA
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Zip | 95120-2905
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Country | US
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Telephone | 408-997-0200
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Fax | 408-997-0200
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KATY CARTER
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Credential | MA
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Telephone | 408-997-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 4703321210
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License Number State | CA
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