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General NPI Number Information
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NPI Number | 1477203156
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Entity Type | Individual
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Provider Name | ROSEMARIE ESPOSITO-PICA SUDCC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1095 E TABOR AVE APT B
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City | FAIRFIELD
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State | CA
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Zip | 94533-4190
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Country | US
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Telephone | 707-718-4872
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Fax |
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Provider Business Mailing Address
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Address Line | 355 TUOLUMNE ST
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City | VALLEJO
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State | CA
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Zip | 94590-5700
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Country | US
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Telephone | 707-553-5525
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18455
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SUDCC
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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