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General NPI Number Information
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NPI Number | 1053034066
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Entity Type | Individual
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Provider Name | JESSELIN AYSON NARTE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4320 CASSANNA WAY APT 1801
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City | OCEANSIDE
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State | CA
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Zip | 92057-7625
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Country | US
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Telephone | 510-277-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 1724 QUAIL PATH
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6812
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Country | US
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Telephone | 510-277-5178
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW20381
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License Number State | FL
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