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General NPI Number Information
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NPI Number | 1568713907
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Entity Type | Organization
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Legal Business Name | SATORI HEALTH LICENSED CLINICAL SOCIAL WORKERS PC
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 1805 E FIR AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93720-3859
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Country | US
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Telephone | 559-908-6752
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Fax | 559-323-5122
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Provider Business Mailing Address
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Address Line | 1805 E FIR AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93720-3859
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Country | US
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Telephone | 559-908-6752
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Fax | 559-323-5122
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Authorized Official
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Title or Position | PRESIDENT
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Name | THERESA LINVILLE
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Credential | LCSW
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Telephone | 559-908-6752
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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 | 25494
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License Number State | CA
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