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General NPI Number Information
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NPI Number | 1679647382
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Entity Type | Individual
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Provider Name | SARA M OKUDA M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 1475 HUNTINGTON AVE SUITE 201
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5990
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Country | US
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Telephone | 415-412-7003
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1625
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City | EL GRANADA
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State | CA
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Zip | 94018-1625
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0004271
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License Number State | OH
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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 | 43956
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License Number State | CA
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