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General NPI Number Information
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NPI Number | 1689147589
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Entity Type | Individual
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Provider Name | MALAYA MANACOP ASW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 730 POLK ST FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-7813
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Country | US
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Telephone | 415-292-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 FRANKLIN ST # 100-263
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City | OAKLAND
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State | CA
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Zip | 94612-3488
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 126227
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 102284
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License Number State | NY
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