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General NPI Number Information
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NPI Number | 1629426382
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Entity Type | Organization
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Legal Business Name | ALKMINI G HORMOVAS, LMFT
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 1952 UNION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4227
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Country | US
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Telephone | 415-255-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 1952 UNION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. ALKMINI G HORMOVAS
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Credential | LMFT
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Telephone | 415-255-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 90674
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License Number State | CA
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