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General NPI Number Information
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NPI Number | 1548388093
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Entity Type | Individual
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Provider Name | KATHERINE R. KREIL-SARKAR ACSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 1075 E SANTA CLARA ST 2ND FLOOR
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City | SAN JOSE
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State | CA
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Zip | 95116-2244
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Country | US
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Telephone | 408-793-5886
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Fax | 408-792-2159
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Provider Business Mailing Address
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Address Line | 1075 E SANTA CLARA ST 2ND FLOOR
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City | SAN JOSE
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State | CA
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Zip | 95116-2244
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Country | US
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Telephone | 408-793-5886
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Fax | 408-792-2159
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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 | 6802083760
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 27681
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License Number State | CA
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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 | 27681
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License Number State | CA
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