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General NPI Number Information
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NPI Number | 1083759013
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Entity Type | Individual
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Provider Name | THOMAS ALEXANDER SEIBEL LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3175 SUNSET BLVD STE 104A
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City | ROCKLIN
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State | CA
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Zip | 95677-3091
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Country | US
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Telephone | 916-316-3024
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Fax | 916-663-9317
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Provider Business Mailing Address
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Address Line | 7117 RIDGE RD
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City | NEWCASTLE
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State | CA
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Zip | 95658-9429
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Country | US
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Telephone | 916-316-3024
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Fax | 916-663-9317
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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 | LCS21454
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License Number State | CA
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