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General NPI Number Information
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NPI Number | 1629470133
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Entity Type | Individual
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Provider Name | JULIANA DE OLIVEIRA CAMPOS PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 445 BELLEVUE AVE STE 201C
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City | OAKLAND
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State | CA
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Zip | 94610-4923
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Country | US
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Telephone | 510-779-8266
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Fax |
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Provider Business Mailing Address
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Address Line | 445 BELLEVUE AVE STE 201C
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City | OAKLAND
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State | CA
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Zip | 94610-4923
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Country | US
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Telephone | 510-779-8266
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY31507
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License Number State | CA
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