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General NPI Number Information
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NPI Number | 1831280445
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Entity Type | Individual
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Provider Name | SHALINI DAYAL MFT 43574
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 39791 PASEO PADRE PKWY SUITE H
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City | FREMONT
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State | CA
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Zip | 94538-2979
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Country | US
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Telephone | 510-305-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 40659 SLAYTON ST
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City | FREMONT
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State | CA
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Zip | 94539-3823
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Country | US
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Telephone | 510-305-9716
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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 | MFC 43574
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License Number State | CA
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