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General NPI Number Information
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NPI Number | 1811024748
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Entity Type | Individual
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Provider Name | TOMOE SHIRAKAWA NAOI PSY.D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 3775 BEACON AVE STE 224
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City | FREMONT
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State | CA
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Zip | 94538-1466
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Country | US
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Telephone | 510-364-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 3775 BEACON AVE STE 224
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City | FREMONT
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State | CA
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Zip | 94538-1466
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Country | US
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Telephone | 510-364-8105
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Fax | 510-490-5360
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY23009
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License Number State | CA
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