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General NPI Number Information
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NPI Number | 1932437787
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Entity Type | Organization
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Legal Business Name | KATHARINE L VILA, PH.D.
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 1801 BUSH ST STE 131C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5273
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Country | US
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Telephone | 415-820-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BUSH ST STE 131C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5273
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Country | US
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Telephone | 415-820-1414
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KATHARINE L VILA
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Credential | PH.D.
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Telephone | 415-820-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY22345
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License Number State | CA
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