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General NPI Number Information
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NPI Number | 1770444176
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Entity Type | Organization
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Legal Business Name | DEXTER MAI, LICENSED CLINICAL SOCIAL WORKER
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 647 VETERANS BLVD STE A
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1441
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Country | US
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Telephone | 415-320-6138
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Fax |
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Provider Business Mailing Address
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Address Line | 1559B SLOAT BLVD STE 254
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEXTER MAI
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Credential | MSW, LCSW
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Telephone | 415-320-6138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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