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General NPI Number Information
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NPI Number | 1073024592
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Entity Type | Individual
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Provider Name | SOPHIA MARIE ARANEO LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 02/04/2023
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Provider Practice Location Address
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Address Line | 1236 M ST
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City | EUREKA
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State | CA
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Zip | 95501-2444
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Country | US
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Telephone | 707-230-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 422 LARKFIELD CTR # 118
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City | SANTA ROSA
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State | CA
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Zip | 95403-1408
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Country | US
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Telephone | 707-230-1168
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108566
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License Number State | CA
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