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General NPI Number Information
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NPI Number | 1942026828
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Entity Type | Individual
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Provider Name | JENNIFER FAUST DNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2344 6TH ST
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City | BERKELEY
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State | CA
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Zip | 94710-2412
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Country | US
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Telephone | 510-853-3647
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Fax |
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Provider Business Mailing Address
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Address Line | 2344 6TH ST
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City | BERKELEY
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State | CA
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Zip | 94710-2412
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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 |
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 95033075
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 95033075
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License Number State | CA
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