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NPI 1720231681

NPI 1720231681 : HILARY S DAVIS MFT : DALY CITY, CA

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General NPI Number Information
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    NPI Number           |    1720231681
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    Entity Type          |    Individual 
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    Provider Name        |    HILARY S DAVIS MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2008
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    Last Update Date     |    04/07/2020
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Provider Practice Location Address
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    Address Line         |    318 WESTLAKE CTR STE 204 
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    City                 |    DALY CITY
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    State                |    CA
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    Zip                  |    94015-1437
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    Country              |    US
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    Telephone            |    415-378-3240
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    Fax                  |    415-715-8908
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Provider Business Mailing Address
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    Address Line         |    54 WESTWOOD DR 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94112-1220
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    Country              |    US
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    Telephone            |    415-378-3240
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    Fax                  |    415-715-8908
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    684
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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       |    52020
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    License Number State |    CA
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