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General NPI Number Information
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NPI Number | 1669836714
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Entity Type | Individual
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Provider Name | NANCY ARLENE CONTRO LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 700 WELCH RD SUITE 114A
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City | PALO ALTO
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State | CA
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Zip | 94304-1502
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Country | US
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Telephone | 650-497-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WELCH RD SUITE 114A
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City | PALO ALTO
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State | CA
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Zip | 94304-1502
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Country | US
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Telephone | 650-497-8304
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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 | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | LCS7021
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License Number State | CA
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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 | LCS7021
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License Number State | CA
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