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General NPI Number Information
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NPI Number | 1891571600
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Entity Type | Organization
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Legal Business Name | HIVELY
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 111 MYRTLE ST STE 102
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City | OAKLAND
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State | CA
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Zip | 94607-2535
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Country | US
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Telephone | 510-568-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 STONERIDGE DR STE 150
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City | PLEASANTON
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State | CA
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Zip | 94588-3502
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Country | US
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Telephone | 925-417-8733
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Fax |
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | DIANA MORALES
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Credential |
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Telephone | 510-483-6715
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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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