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General NPI Number Information
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NPI Number | 1962570929
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Entity Type | Individual
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Provider Name | TOM CHENEY LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 701 S ABEL ST
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City | MILPITAS
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State | CA
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Zip | 95035-5243
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Country | US
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Telephone | 408-934-5123
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Fax | 408-957-5807
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Provider Business Mailing Address
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Address Line | 1373 SPENCER AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-1757
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Country | US
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Telephone | 408-874-5624
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Fax | 408-297-5064
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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 | 51045
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License Number State | CA
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