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General NPI Number Information
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NPI Number | 1346498128
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Entity Type | Individual
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Provider Name | SHARON LYNN LOVESETH CADC I, SOMATIC EDUC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 18 PROSPECT AVE
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City | PORT COSTA
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State | CA
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Zip | 94569-0223
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Country | US
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Telephone | 510-787-3486
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Fax | 510-787-3116
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Provider Business Mailing Address
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Address Line | 3824 MARSHALL AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608
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Country | US
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Telephone | 916-550-2501
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Fax | 510-787-3116
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADC I 084397
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCI03810315
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License Number State | CA
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