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General NPI Number Information
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NPI Number | 1639627193
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Entity Type | Individual
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Provider Name | NATASHA JESWANI LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 1760 THE ALAMEDA STE 100
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City | SAN JOSE
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State | CA
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Zip | 95126-1728
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Country | US
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Telephone | 510-224-5875
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Fax |
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Provider Business Mailing Address
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Address Line | 248 3RD ST # 726
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City | OAKLAND
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State | CA
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Zip | 94607-4375
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Country | US
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Telephone | 510-224-5875
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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 | LCSW100907
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License Number State | CA
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