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General NPI Number Information
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NPI Number | 1649723933
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Entity Type | Organization
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Legal Business Name | LEANNE CARTER
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1728 UNION ST STE 107
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-4439
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Country | US
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Telephone | 415-272-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 FILBERT ST APT 1T
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-3671
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Country | US
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Telephone | 415-272-0282
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. LEANNE S CARTER
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Credential | MFT
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Telephone | 415-272-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | MFC 42144
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License Number State | CA
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