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General NPI Number Information
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NPI Number | 1659219954
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Entity Type | Individual
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Provider Name | JOSE E SAGREDO MSW
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Gender | Male
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 919 1ST ST
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2957
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Country | US
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Telephone | 818-256-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 8717 LEHIGH AVE
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City | SUN VALLEY
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State | CA
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Zip | 91352-2743
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Country | US
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Telephone | 626-510-4478
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 131494
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License Number State | CA
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