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General NPI Number Information
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NPI Number | 1639993629
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Entity Type | Individual
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Provider Name | YVETTE GARCIA AMFT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 680 WILSON AVE
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City | NOVATO
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State | CA
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Zip | 94947-3825
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Country | US
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Telephone | 707-200-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 32 CIRCLE DR APT C
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City | TIBURON
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State | CA
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Zip | 94920-2117
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Country | US
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Telephone | 707-540-3824
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151297
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License Number State | CA
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