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General NPI Number Information
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NPI Number | 1912032277
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Entity Type | Individual
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Provider Name | MS. VICKY MOKEH SYLVA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 96 S 14TH ST
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City | SAN JOSE
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State | CA
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Zip | 95112-2015
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Country | US
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Telephone | 408-998-3293
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Fax | 408-642-6052
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Provider Business Mailing Address
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Address Line | 1922 THE ALAMEDA STE 316
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City | SAN JOSE
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State | CA
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Zip | 95126-1461
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Country | US
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Telephone | 408-261-7777
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Fax | 408-642-6052
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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 | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 41648
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License Number State | CA
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