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General NPI Number Information
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NPI Number | 1770931271
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Entity Type | Organization
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Legal Business Name | WINIFRED D. ANDERSON, LMFT
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 555 MIDDLEFIELD RD
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City | PALO ALTO
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State | CA
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Zip | 94301-2124
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Country | US
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Telephone | 650-759-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 WOODSIDE RD STE 400
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City | WOODSIDE
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State | CA
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Zip | 94062-2443
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Country | US
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Telephone | 650-759-0244
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | WINIFRED D. ANDERSON
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Credential | LMFT
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Telephone | 650-759-0244
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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 | 89720
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License Number State | CA
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