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NPI 1073476339

NPI 1073476339 : EVE FINE LICENSED CLINICAL SOCIAL WORKER, PC : BERKELEY, CA

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General NPI Number Information
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    NPI Number           |    1073476339
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVE FINE LICENSED CLINICAL SOCIAL WORKER, PC 
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Dates
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    Enumeration Date     |    12/04/2025
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    2991 SACRAMENTO ST UNIT 320 
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    City                 |    BERKELEY
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    State                |    CA
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    Zip                  |    94702-2534
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    Country              |    US
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    Telephone            |    510-838-1985
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2991 SACRAMENTO ST UNIT 320 
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    City                 |    BERKELEY
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    State                |    CA
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    Zip                  |    94702-2534
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     EVE  FINE 
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    Credential           |    
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    Telephone            |    510-838-1985
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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       |    
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    License Number State |    
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