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General NPI Number Information
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NPI Number | 1306212782
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Entity Type | Individual
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Provider Name | SHAWNA ANTOINETTE PUMA M.ED
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2050 MINERT RD
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City | CONCORD
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State | CA
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Zip | 94518-3428
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Country | US
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Telephone | 925-682-2083
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 CARLOTTA DR
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City | CONCORD
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State | CA
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Zip | 94519-1358
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Country | US
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Telephone | 925-682-8000
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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 | ASW115825
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License Number State | CA
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