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General NPI Number Information
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NPI Number | 1780922823
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Entity Type | Organization
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Legal Business Name | EXPLORE & EXPRESS, INC.
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 3637 SACRAMENTO ST SUITE G
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1723
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Country | US
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Telephone | 415-267-1831
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Fax | 415-333-8305
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Provider Business Mailing Address
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Address Line | 3637 SACRAMENTO STREET SUITE G
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-267-1831
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Fax | 415-333-8305
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA DEVANEY
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Credential | LMFT
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Telephone | 415-267-1831
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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 | MFC43190
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License Number State | CA
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