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General NPI Number Information
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NPI Number | 1659210680
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Entity Type | Organization
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Legal Business Name | LARIMAR MARRIAGE AND FAMILY CHILD THERAPY
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 4100 REDWOOD RD
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City | OAKLAND
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State | CA
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Zip | 94619-2363
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Country | US
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Telephone | 510-473-2292
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Fax | 510-473-2292
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Provider Business Mailing Address
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Address Line | 4100 REDWOOD RD
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City | OAKLAND
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State | CA
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Zip | 94619-2363
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Country | US
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Telephone | 510-473-2292
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Fax | 510-473-2292
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. MIRELY MARGARITA VASQUEZ
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Credential | LMFT
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Telephone | 510-473-2292
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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 |
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License Number State |
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