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NPI 1427120468

NPI 1427120468 : JOEL CHRISTOPHER WORK MSW : CUPERTINO, CA

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General NPI Number Information
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    NPI Number           |    1427120468
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL CHRISTOPHER WORK MSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10430 S DE ANZA BLVD STE 110 
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    City                 |    CUPERTINO
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    State                |    CA
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    Zip                  |    95014-3024
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    Country              |    US
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    Telephone            |    408-857-5731
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    Fax                  |    408-364-7090
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Provider Business Mailing Address
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    Address Line         |    19015 SUNNYSIDE DR 
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    City                 |    SARATOGA
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    State                |    CA
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    Zip                  |    95070-6242
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    Country              |    US
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    Telephone            |    408-395-7453
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCS 15631
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    License Number State |    CA
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