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General NPI Number Information
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NPI Number | 1417236738
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Entity Type | Individual
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Provider Name | SARAH PIERCE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 236 GEORGIA ST SUITE 101
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City | VALLEJO
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State | CA
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Zip | 94590-5991
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Country | US
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Telephone | 510-759-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 CALHOUN ST
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City | ALAMEDA
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State | CA
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Zip | 94501-5443
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Country | US
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Telephone | 510-759-8121
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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 | 104100000
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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 | LCSW79249
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License Number State | CA
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