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General NPI Number Information
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NPI Number | 1114834496
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Entity Type | Individual
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Provider Name | CARL RIKIO NISHI
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 501 DANVILLE BLVD
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City | DANVILLE
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State | CA
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Zip | 94526-2404
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Country | US
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Telephone | 925-552-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 501 DANVILLE BLVD
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City | DANVILLE
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State | CA
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Zip | 94526-2404
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Country | US
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Telephone | 925-552-5503
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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 | 107384
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License Number State | CA
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