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General NPI Number Information
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NPI Number | 1720316490
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Entity Type | Individual
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Provider Name | YUKIKO HATANAKA
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 9500 MALECH DR
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City | SAN JOSE
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State | CA
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Zip | 95138-2004
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Country | US
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Telephone | 408-281-6542
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Fax | 82-816-5804
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Provider Business Mailing Address
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Address Line | 9500 MALECH DR
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City | SAN JOSE
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State | CA
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Zip | 95138-2004
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Country | US
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Telephone | 408-281-6542
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Fax | 408-281-3580
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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 | 112486
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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