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General NPI Number Information
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NPI Number | 1962023770
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Entity Type | Individual
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Provider Name | YASMEEN ELBANNA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 809 CUESTA DR, SUITE B PMB - 1059
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 949-229-1351
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Fax |
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Provider Business Mailing Address
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Address Line | 809 CUESTA DR, SUITE B PMB - 1059
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 949-229-1351
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 129266
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 152379
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License Number State | CA
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