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General NPI Number Information
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NPI Number | 1073972212
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Entity Type | Individual
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Provider Name | NATALIE JEAN STOCKTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 4929 WILSHIRE BLVD STE 500
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City | LOS ANGELES
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State | CA
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Zip | 90010-3820
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Country | US
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Telephone | 800-275-3243
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Fax |
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Provider Business Mailing Address
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Address Line | 7170 WITTER RD
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4726
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Country | US
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Telephone | 808-463-0847
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Fax | 808-442-5068
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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 | 4106
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License Number State | HI
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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 | 85647
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License Number State | CA
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