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General NPI Number Information
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NPI Number | 1952900094
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Entity Type | Individual
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Provider Name | GEETANJALI J. VIJ LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 212 HOMER AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-2722
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Country | US
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Telephone | 650-620-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 CASCADE DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-4315
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Country | US
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Telephone | 707-344-6135
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16416
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License Number State | CA
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