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General NPI Number Information
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NPI Number | 1760523732
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Entity Type | Individual
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Provider Name | SHEILA ANNE MOLLER MFT
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Gender | Female
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 326 S L ST
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City | LIVERMORE
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State | CA
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Zip | 94550-4412
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Country | US
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Telephone | 925-373-7022
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Fax | 925-449-1937
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Provider Business Mailing Address
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Address Line | 596 HAGEMANN DR
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City | LIVERMORE
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State | CA
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Zip | 94551-6018
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Country | US
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Telephone | 925-373-7022
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Fax | 925-449-1937
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFC32382
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License Number State | CA
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