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General NPI Number Information
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NPI Number | 1629336912
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Entity Type | Organization
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Legal Business Name | MERRILL POWERS, MSW, LCSW, PC
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 101 ORANGE ST SUITE B
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City | AUBURN
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State | CA
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Zip | 95603-5232
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Country | US
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Telephone | 530-852-5066
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Fax | 530-888-8793
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Provider Business Mailing Address
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Address Line | 642 OAKHAVEN RD
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City | AUBURN
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State | CA
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Zip | 95603-4030
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Country | US
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Telephone | 530-852-5066
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Fax | 530-888-8793
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MS. MERRILL POWERS
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Credential | LCSW
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Telephone | 530-852-5066
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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 | LCS 19451
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License Number State | CA
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