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General NPI Number Information
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NPI Number | 1447926340
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Entity Type | Individual
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Provider Name | RONSON SOUZA ASW
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Gender | Male
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 81555 JFK CT
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City | INDIO
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State | CA
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Zip | 92201-7726
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Country | US
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Telephone | 760-262-1017
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 215
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City | PALM SPRINGS
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State | CA
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Zip | 92263-0215
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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