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General NPI Number Information
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NPI Number | 1982149316
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Entity Type | Individual
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Provider Name | YOSHIKO POWELL MA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1480 LINCOLN AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2084
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Country | US
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Telephone | 415-456-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 3053 MADELINE ST
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City | OAKLAND
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State | CA
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Zip | 94602-3930
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Country | US
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Telephone | 310-817-3054
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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 | 111042
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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 | IMF96086
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License Number State | CA
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