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General NPI Number Information
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NPI Number | 1215123849
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Entity Type | Individual
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Provider Name | LASONDRA KAY JONES ADMINISTRATOR, SOCIA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1710 MT SILLIMAN WAY
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City | ANTIOCH
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State | CA
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Zip | 94531-3019
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Country | US
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Telephone | 510-772-0442
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Fax | 510-482-0114
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Provider Business Mailing Address
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Address Line | 2514 CARMEL ST
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City | OAKLAND
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State | CA
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Zip | 94602-3015
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Country | US
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Telephone | 510-772-0442
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Fax | 510-482-0114
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | CA
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