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General NPI Number Information
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NPI Number | 1306510128
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Entity Type | Individual
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Provider Name | SARAH JEAN ANDARY
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 8950 CAL CENTER DR STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95826-3247
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Country | US
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Telephone | 916-707-1758
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Fax | 916-200-3191
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Provider Business Mailing Address
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Address Line | 7000 FAIR OAKS BLVD APT 116
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City | CARMICHAEL
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State | CA
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Zip | 95608-3355
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Country | US
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Telephone | 408-410-2596
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112408
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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