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General NPI Number Information
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NPI Number | 1538864822
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN COLLINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 04/16/2023
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Provider Practice Location Address
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Address Line | 1625 VAN NESS AVE FL 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3369
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Country | US
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Telephone | 415-600-6272
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Fax | 415-749-1433
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Provider Business Mailing Address
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Address Line | PO BOX 190612
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City | SAN FRANCISCO
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State | CA
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Zip | 94119-0612
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Country | US
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Telephone | 415-595-9192
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Fax | 415-749-1433
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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 | LCSW29060
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License Number State | CA
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