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General NPI Number Information
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NPI Number | 1346459641
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Entity Type | Individual
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Provider Name | CAROLINE THOMAS HASKELL MSSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 CAMPUS CENTER BLDG 80
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City | SEASIDE
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State | CA
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Zip | 93955
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Country | US
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Telephone | 831-582-3989
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Fax | 831-582-4384
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Provider Business Mailing Address
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Address Line | 913 LAURIE CIRCLE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950
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Country | US
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Telephone | 831-582-3989
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Fax | 831-582-4384
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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 | LCS20408
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License Number State | CA
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