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General NPI Number Information
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NPI Number | 1013040187
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Entity Type | Individual
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Provider Name | JENNIFER EILEEN CROSETTI M.S.W
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 948 SACRAMENTO AVE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-1904
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Country | US
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Telephone | 916-254-0650
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Fax | 916-254-0651
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Provider Business Mailing Address
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Address Line | 310 BONITA ST
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City | ROSEVILLE
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State | CA
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Zip | 95678
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Country | US
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Telephone | 916-531-0609
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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