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General NPI Number Information
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NPI Number | 1699827782
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Entity Type | Individual
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Provider Name | MARY MARGARET O'NEIL M.S., MFT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 710 S BROADWAY
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5294
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Country | US
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Telephone | 925-295-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 2 COMMODORE DR #286
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City | EMERYVILLE
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State | CA
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Zip | 94608-1645
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Country | US
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Telephone | 510-547-2243
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 17024
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License Number State | CA
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