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General NPI Number Information
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NPI Number | 1134741317
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Entity Type | Individual
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Provider Name | JAMES ROBERT BLAIR WEST MSW, ASW
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Gender | Male
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 1303 JEFFERSON ST STE 710A
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City | NAPA
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State | CA
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Zip | 94559-2449
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Country | US
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Telephone | 415-326-3969
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2011
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City | NAPA
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State | CA
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Zip | 94558-0201
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Country | US
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Telephone | 707-673-6667
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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 | 94187
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License Number State | CA
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