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General NPI Number Information
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NPI Number | 1174468425
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Entity Type | Organization
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Legal Business Name | JENAIAH L JONES
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1210 CENTRAL BLVD STE 113
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City | BRENTWOOD
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State | CA
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Zip | 94513-2360
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Country | US
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Telephone | 800-484-2797
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Fax | 800-484-2797
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Provider Business Mailing Address
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Address Line | 3130 BALFOUR RD STE D 133
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City | BRENTWOOD
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State | CA
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Zip | 94513-5516
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Country | US
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Telephone | 800-484-2797
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENAIAH SAUCEDA
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Credential |
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Telephone | 800-484-2797
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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 |
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License Number State |
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