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General NPI Number Information
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NPI Number | 1508959552
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Entity Type | Individual
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Provider Name | GAIL JEAN GARCIA LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 2260 SAINT GEORGE LN STE 1
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City | CHICO
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State | CA
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Zip | 95926-1311
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Country | US
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Telephone | 530-624-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W EAST AVE SUITE A153
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City | CHICO
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State | CA
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Zip | 95926-7235
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Country | US
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Telephone | 530-624-2607
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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 | 25316
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License Number State | CA
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