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General NPI Number Information
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NPI Number | 1821235953
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Entity Type | Individual
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Provider Name | COURTNEY KIKUE HAYASHI-OSORNO
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 5296 UNIVERSITY AVE STE F2
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City | SAN DIEGO
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State | CA
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Zip | 92105-2269
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Country | US
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Telephone | 619-229-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 LINFIELD AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-4821
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Country | US
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Telephone | 619-825-5109
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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