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NPI 1285120972

NPI 1285120972 : SARAH PERDIGUERRA : SANTA CLARA, CA

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General NPI Number Information
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    NPI Number           |    1285120972
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH PERDIGUERRA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2018
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    5201 GREAT AMERICA PKWY STE 320 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95054-1140
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    Country              |    US
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    Telephone            |    626-395-7100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5201 GREAT AMERICA PKWY STE 320 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95054-1140
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    Country              |    US
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    Telephone            |    323-205-7088
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    Fax                  |    833-419-0181
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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       |    130168
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    License Number State |    CA
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