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General NPI Number Information
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NPI Number | 1295532299
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Entity Type | Individual
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Provider Name | ALYSON L MCMILLAN MSW, ASW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3330 CAMERON PARK DR STE 400
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City | CAMERON PARK
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State | CA
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Zip | 95682-7652
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Country | US
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Telephone | 916-813-3994
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 GREEN GLEN RD
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City | CAMERON PARK
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State | CA
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Zip | 95682-9025
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Country | US
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Telephone | 916-813-3994
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW122483
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License Number State | CA
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