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General NPI Number Information
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NPI Number | 1437940749
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Entity Type | Individual
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Provider Name | ANNA SOSSENHEIMER ASW
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 311 LAURENT ST
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City | SANTA CRUZ
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State | CA
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Zip | 95060-3543
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Country | US
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Telephone | 510-823-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 S 2940 E UNIT 9887
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City | MILLCREEK
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State | UT
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Zip | 84109-7045
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Country | US
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Telephone |
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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 | 127437
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License Number State | CA
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