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General NPI Number Information
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NPI Number | 1689423162
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Entity Type | Individual
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Provider Name | ADRIANA SHAWANA DENISE HINES ACSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 8950 CAL CENTER DR STE 340
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City | SACRAMENTO
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State | CA
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Zip | 95826-3225
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Country | US
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Telephone | 916-254-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 MANCHESTER AVE
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City | STOCKTON
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State | CA
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Zip | 95204-5029
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Country | US
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Telephone | 916-764-6281
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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 | 120082
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License Number State | CA
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