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General NPI Number Information
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NPI Number | 1891635553
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Entity Type | Organization
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Legal Business Name | AEVRYN HOLDINGS LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 489 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6115
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Country | US
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Telephone | 510-936-1138
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Fax |
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Provider Business Mailing Address
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Address Line | 489 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6115
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Country | US
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Telephone | 510-936-1138
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | SUZZETTE MONIQUE GARCIA
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Credential | LPCC
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Telephone | 559-360-3887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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