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General NPI Number Information
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NPI Number | 1669018412
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Entity Type | Individual
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Provider Name | MAURA E UYEDA
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Gender | Female
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 1307 S MARY AVE STE 250
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City | SUNNYVALE
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State | CA
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Zip | 94087-3071
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Country | US
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Telephone | 650-618-6434
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Fax | 650-618-6434
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Provider Business Mailing Address
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Address Line | 1525 MIRAMONTE AVE UNIT 3644
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City | LOS ALTOS
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State | CA
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Zip | 94024-9025
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Country | US
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Telephone | 650-618-6434
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Fax | 650-618-6434
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW89671
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License Number State | CA
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