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General NPI Number Information
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NPI Number | 1992018014
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Entity Type | Individual
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Provider Name | VINUTHA MOHAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 220 S CALIFORNIA AVE STE, 120
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City | PALO ALTO
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State | CA
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Zip | 94306-1641
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Country | US
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Telephone | 408-718-2695
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Fax | 408-718-2695
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Provider Business Mailing Address
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Address Line | 20066 CHATEAU DR
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City | SARATOGA
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State | CA
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Zip | 95070-4313
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Country | US
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Telephone | 408-868-9373
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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 | 83479
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License Number State | CA
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