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General NPI Number Information
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NPI Number | 1154522761
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Entity Type | Individual
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Provider Name | JENNIFER VALERA L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 17 GLENEDEN AVE SUITE 2
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City | OAKLAND
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State | CA
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Zip | 94611-4316
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Country | US
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Telephone | 510-292-6385
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Fax | 510-482-1515
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Provider Business Mailing Address
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Address Line | 17 GLENEDEN AVE SUITE 2
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City | OAKLAND
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State | CA
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Zip | 94611-4316
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Country | US
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Telephone | 510-292-6385
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Fax | 510-482-1515
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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 | LCS 22201
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License Number State | CA
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