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General NPI Number Information
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NPI Number | 1740456896
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Entity Type | Individual
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Provider Name | SURINDER K HARISH LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 3015 HOPYARD RD STE O
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City | PLEASANTON
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State | CA
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Zip | 94588-5254
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Country | US
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Telephone | 408-916-3490
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15156
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City | FREMONT
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State | CA
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Zip | 94539-2256
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Country | US
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Telephone | 408-916-3490
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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 | LMFT 80118
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License Number State | CA
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