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General NPI Number Information
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NPI Number | 1093200461
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Entity Type | Individual
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Provider Name | DUSHYANTHI SATCHI MS
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 3210 WILSHIRE BLVD SUITE 201
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City | SANTA MONICA
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State | CA
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Zip | 90403
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Country | US
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Telephone | 310-765-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 10TH ST APT 216
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City | SANTA MONICA
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State | CA
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Zip | 90401-2835
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Country | US
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Telephone | 646-522-0337
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 002030
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License Number State | CT
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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 | 091490
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58.010729
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW109162
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License Number State | CA
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