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General NPI Number Information
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NPI Number | 1447747035
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Entity Type | Individual
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Provider Name | BIANCA DIONNE CHRISTIAN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 8788 ELK GROVE BLVD BLDG 2
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City | ELK GROVE
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State | CA
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Zip | 95624-1766
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Country | US
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Telephone | 916-400-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 981 43RD AVE APT 34
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City | SACRAMENTO
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State | CA
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Zip | 95831-1328
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Country | US
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Telephone | 916-432-9472
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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