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General NPI Number Information
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NPI Number | 1316164825
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Entity Type | Organization
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Legal Business Name | SACRAMENTO CITY UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5735 47TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95824-4528
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Country | US
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Telephone | 916-752-3653
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Fax | 916-752-3653
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Provider Business Mailing Address
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Address Line | 5735 47TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95824-4528
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Country | US
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Telephone | 916-643-9413
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Fax | 916-643-9481
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Authorized Official
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Title or Position | STUDENT & FAMILY COORDINATOR
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Name | MR. LAWRENCE SHWEKY
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Credential | LCSW
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Telephone | 916-643-9413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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