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General NPI Number Information
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NPI Number | 1699903583
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Entity Type | Individual
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Provider Name | JENNIFER YU LOUIE-TANAKA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 19000 HOMESTEAD RD BLDG 2 FLOOR 1
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City | CUPERTINO
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State | CA
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Zip | 95014-0712
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Country | US
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Telephone | 408-366-4492
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Fax | 408-366-4480
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Provider Business Mailing Address
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Address Line | 19000 HOMESTEAD RD BLDG 2 FLOOR 1
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City | CUPERTINO
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State | CA
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Zip | 95014-0712
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Country | US
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Telephone | 408-366-4492
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Fax | 408-366-4480
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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