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General NPI Number Information
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NPI Number | 1902672041
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Entity Type | Organization
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Legal Business Name | YAARAH FAMILY THERAPY & WELLNESS SERVICES INC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST STE 2D
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-216-6212
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Fax | 510-788-1226
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST STE 2D
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-216-6212
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Fax | 510-788-1226
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Authorized Official
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Title or Position | CEO
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Name | MIA TURNER
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Credential | MA, RYT, ASDCS, LMFT
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Telephone | 510-216-6212
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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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