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General NPI Number Information
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NPI Number | 1104012210
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Entity Type | Organization
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Legal Business Name | THROUGH INSIGHT
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 150 FELKER ST STE G THROUGH INSIGHT
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2849
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Country | US
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Telephone | 831-425-4794
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Fax | 831-477-1542
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Provider Business Mailing Address
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Address Line | 150 FELKER ST STE G THROUGH INSIGHT
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2849
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Country | US
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Telephone | 831-425-4794
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Fax | 831-477-1542
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. KERENA GORDHAMER SALTZMAN
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Credential | LCSW 20934
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Telephone | 831-477-1542
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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 | LCS20934
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License Number State | CA
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