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General NPI Number Information
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NPI Number | 1619480902
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Entity Type | Individual
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Provider Name | RAQUEL MARGARITA PEREZ ESCOBOSA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 734 A ST
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3923
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Country | US
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Telephone | 415-924-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 PEAR TREE LN
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City | NAPA
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State | CA
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Zip | 94558-6484
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Country | US
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Telephone | 707-254-1770
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127386
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License Number State | CA
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