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General NPI Number Information
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NPI Number | 1083409031
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Entity Type | Individual
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Provider Name | SHAINAL CHAND LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2403 KEITH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-3231
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Country | US
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Telephone | 628-217-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 125 BELMONT AVE
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1617
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Country | US
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Telephone | 650-296-2838
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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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 | 119600
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License Number State | CA
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