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General NPI Number Information
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NPI Number | 1841649936
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Entity Type | Individual
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Provider Name | KEVIN TADASHI FRANKLIN LCSW 121942
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Gender | Male
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 160 E VIRGINIA ST STE 100
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City | SAN JOSE
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State | CA
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Zip | 95112-5865
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Country | US
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Telephone | 408-938-2172
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E VIRGINIA ST STE 100
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City | SAN JOSE
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State | CA
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Zip | 95112-5865
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Country | US
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Telephone | 408-918-2618
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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 | 97168
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 121942
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License Number State | CA
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