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General NPI Number Information
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NPI Number | 1346079191
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Entity Type | Individual
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Provider Name | SOPHIA MARIJA METZNER ASW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 814 BROADWAY
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City | SONOMA
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State | CA
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Zip | 95476-7013
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Country | US
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Telephone | 707-509-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 18210 ROBIN AVE
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City | SONOMA
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State | CA
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Zip | 95476-4042
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Country | US
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Telephone | 707-334-3992
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 90490
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License Number State | CA
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