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General NPI Number Information
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NPI Number | 1629666250
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Entity Type | Individual
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Provider Name | KRISTINA E NEUNER
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Gender | Female
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 5820 OWENS DR BLDG E2ND
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City | PLEASANTON
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State | CA
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Zip | 94588-3900
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Country | US
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Telephone | 877-457-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 731 GARNER LN
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City | STOCKTON
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State | CA
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Zip | 95207-4806
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Country | US
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Telephone | 209-518-2878
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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 | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 37031
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License Number State | CA
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