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General NPI Number Information
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NPI Number | 1871254144
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Entity Type | Individual
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Provider Name | DEVORA LOMAS MA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 1710 HAMILTON AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-5424
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Country | US
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Telephone | 669-237-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 PARK AVE APT 12
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City | SANTA CLARA
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State | CA
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Zip | 95050-6059
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Country | US
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Telephone | 669-204-5576
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 10394
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License Number State | CA
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