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General NPI Number Information
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NPI Number | 1659993970
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Entity Type | Individual
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Provider Name | BENTLY JAMES WATANABE ANDERSON LMFT#146945
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Gender | Male
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3530 SACRAMENTO ST STE 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1897
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Country | US
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Telephone | 510-804-0366
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Fax | 510-254-7225
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Provider Business Mailing Address
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Address Line | 3530 SACRAMENTO ST STE 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1897
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Country | US
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Telephone | 510-574-2100
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Fax | 510-254-7225
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 146945
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License Number State | CA
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