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General NPI Number Information
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NPI Number | 1538699871
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Entity Type | Individual
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Provider Name | LENETTA G HOGUE ASW
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 2425 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3358
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Country | US
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Telephone | 877-532-7951
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Fax | 844-574-3385
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Provider Business Mailing Address
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Address Line | PO BOX 371134
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City | MONTARA
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State | CA
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Zip | 94037-1134
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Country | US
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Telephone | 281-731-2982
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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 | ASW74647
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License Number State | CA
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