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General NPI Number Information
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NPI Number | 1174316020
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Entity Type | Individual
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Provider Name | ANDREW CARLON
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Gender | Male
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1636 LASLO DR
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City | ESCONDIDO
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State | CA
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Zip | 92025-6331
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Country | US
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Telephone | 707-373-0821
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 LASLO DR
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City | ESCONDIDO
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State | CA
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Zip | 92025-6331
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Country | US
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Telephone | 707-373-0821
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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 | 240088971
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License Number State | CA
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