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General NPI Number Information
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NPI Number | 1811775224
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Entity Type | Organization
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Legal Business Name | LOVE NEVER FAILS
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 22580 GRAND ST
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City | HAYWARD
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State | CA
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Zip | 94541-5030
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Country | US
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Telephone | 844-249-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 6937 VILLAGE PKWY UNIT 2074
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City | DUBLIN
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State | CA
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Zip | 94568-6003
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Country | US
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Telephone | 844-249-2698
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND EXECUTIVE DIRECTOR
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Name | VANESSA RUSSELL
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Credential |
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Telephone | 628-400-9230
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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 |
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License Number State |
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