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General NPI Number Information
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NPI Number | 1912737644
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Entity Type | Organization
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Legal Business Name | EMPATHIC EMPOWERMENT FAMILY THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 913 WILLOW ST STE 201
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City | SAN JOSE
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State | CA
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Zip | 95125-2380
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Country | US
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Telephone | 408-883-1695
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Fax |
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Provider Business Mailing Address
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Address Line | 913 WILLOW ST STE 201
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City | SAN JOSE
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State | CA
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Zip | 95125-2380
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNNEA PALAZZOLO
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Credential | LMFT
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Telephone | 408-883-1695
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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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