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General NPI Number Information
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NPI Number | 1710038005
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Entity Type | Individual
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Provider Name | JEAN RENEE KASHA M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 45 QUAIL CT STE. 102
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5547
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Country | US
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Telephone | 925-695-3104
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Fax | 510-524-4239
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Provider Business Mailing Address
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Address Line | 1052 ORDWAY ST
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City | ALBANY
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State | CA
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Zip | 94706-2523
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Country | US
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Telephone | 510-525-1657
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Fax | 510-524-4239
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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 | MFC38411
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License Number State | CA
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