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General NPI Number Information
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NPI Number | 1699793869
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Entity Type | Individual
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Provider Name | ROBERT WASKA MFT, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3329 SACRAMENTO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1911
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Country | US
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Telephone | 415-883-4235
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Fax | 415-472-3634
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Provider Business Mailing Address
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Address Line | PO BOX 2769
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City | SAN ANSELMO
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State | CA
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Zip | 94979-2769
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Country | US
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Telephone | 415-883-4235
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Fax | 415-472-3634
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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 | MFT 28161
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License Number State | CA
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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 | MFT28161
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License Number State | CA
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