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General NPI Number Information
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NPI Number | 1417220492
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Entity Type | Individual
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Provider Name | NICOLE C CARTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 1320 SUTTERVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95822-1150
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Country | US
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Telephone | 510-366-3782
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Fax | 888-234-7416
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Provider Business Mailing Address
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Address Line | 1320 SUTTERVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95822-1150
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Country | US
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Telephone | 510-366-3782
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Fax | 888-234-7416
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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 | 32774
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 74599
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License Number State | CA
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