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NPI 1770202582

NPI 1770202582 : EUGENIA TARZIBACHI LMFT 146183 : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1770202582
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    Entity Type          |    Individual 
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    Provider Name        |    EUGENIA TARZIBACHI LMFT 146183
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2022
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    Last Update Date     |    05/13/2024
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Provider Practice Location Address
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    Address Line         |    417 SPRUCE ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118-1711
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    Country              |    US
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    Telephone            |    415-729-5901
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    615 ANSEL AVE APT 103 
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    City                 |    BURLINGAME
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    State                |    CA
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    Zip                  |    94010-3829
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    Country              |    US
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    Telephone            |    415-218-4039
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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       |    146183
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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       |    
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    License Number State |    CA
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