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General NPI Number Information
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NPI Number | 1114537685
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Entity Type | Individual
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Provider Name | PANG F MARTIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 601 UNIVERSITY AVE STE 280
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City | SACRAMENTO
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State | CA
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Zip | 95825-6745
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Country | US
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Telephone | 916-243-6923
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Fax |
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Provider Business Mailing Address
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Address Line | 7949 CAYMUS DR
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City | SACRAMENTO
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State | CA
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Zip | 95829-1446
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Country | US
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Telephone | 916-947-4443
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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 | 134366
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License Number State | CA
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