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General NPI Number Information
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NPI Number | 1770298838
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Entity Type | Individual
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Provider Name | GENEVA BEA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 700 AIRPORT BLVD STE 490&495
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City | BURLINGAME
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State | CA
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Zip | 94010-1908
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Country | US
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Telephone | 650-517-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CENTRAL AVE APT A
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2023
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Country | US
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Telephone | 617-459-6741
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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