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General NPI Number Information
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NPI Number | 1821368127
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Entity Type | Individual
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Provider Name | CHRISTINA LEONE KLEIN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 350 BON AIR RD STE 220
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City | GREENBRAE
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State | CA
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Zip | 94904-1754
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Country | US
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Telephone | 415-413-7352
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Fax |
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Provider Business Mailing Address
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Address Line | 120 WARD ST PO BOX 772
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City | LARKSPUR
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State | CA
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Zip | 94939-1325
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Country | US
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Telephone | 415-272-7542
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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 | 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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 85483
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License Number State | CA
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