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General NPI Number Information
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NPI Number | 1598957771
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Entity Type | Individual
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Provider Name | KATY FIONA WENGROFSKY ASW 127851
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 100 N HOWARD ST STE R
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 510-332-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 661 WASHINGTON ST STE 223
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City | OAKLAND
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State | CA
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Zip | 94607-3922
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Country | US
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Telephone | 510-871-0034
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Fax | 510-272-1220
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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 | 61641064
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 127851
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License Number State | CA
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