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General NPI Number Information
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NPI Number | 1316495609
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Entity Type | Individual
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Provider Name | RITA A. WILLIAMS-WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 777 DAVIS ST STE 300
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City | SAN LEANDRO
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State | CA
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Zip | 94577-6923
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Country | US
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Telephone | 510-839-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 160 GLEN COVE MARINA RD E STE 102
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City | VALLEJO
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State | CA
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Zip | 94591-7290
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Country | US
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Telephone | 707-648-2000
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Fax | 707-648-2300
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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 | 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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW123586
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License Number State | CA
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