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General NPI Number Information
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NPI Number | 1942534953
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Entity Type | Individual
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Provider Name | WILLIAM HECTOR M.A.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 560 OAKLAND AVE SUITE C
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City | OAKLAND
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State | CA
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Zip | 94611-5471
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Country | US
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Telephone | 510-601-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 505 E 22ND ST APT. C
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City | OAKLAND
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State | CA
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Zip | 94606-1988
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Country | US
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Telephone | 510-251-1033
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 59835
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License Number State | CA
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