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General NPI Number Information
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NPI Number | 1548013006
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Entity Type | Individual
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Provider Name | SONIA MISTRY
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Gender | Female
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 11175 SAN PABLO AVE
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City | EL CERRITO
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State | CA
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Zip | 94530-2157
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Country | US
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Telephone | 510-559-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 DERBY ST APT D
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City | BERKELEY
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State | CA
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Zip | 94703-1969
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Country | US
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Telephone | 630-432-5096
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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 | 123473
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License Number State | CA
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