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General NPI Number Information
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NPI Number | 1396474243
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Entity Type | Individual
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Provider Name | NATASHA ALSOBROOK
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Gender | Female
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 26001 REDLANDS BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-7762
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 7830 LIMONITE AVE # 104
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City | RIVERSIDE
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State | CA
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Zip | 92509-5360
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Country | US
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Telephone | 760-622-9816
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW108389
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 129670
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License Number State | CA
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