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General NPI Number Information
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NPI Number | 1326211954
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Entity Type | Individual
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Provider Name | LASONIA RECHEAL STEWART-BROWN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 1000 VALE TERRACE DR
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City | VISTA
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State | CA
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Zip | 92084-5218
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Country | US
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Telephone | 760-631-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 775 OLD OAK RDG
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City | SAN MARCOS
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State | CA
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Zip | 92069-9774
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Country | US
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Telephone | 619-823-7998
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 17174
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License Number State | CA
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