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General NPI Number Information
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NPI Number | 1710103577
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Entity Type | Individual
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Provider Name | TONIA HEATH LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 2716 FREEDOM BLVD
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City | WATSONVILLE
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State | CA
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Zip | 95076-1027
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Country | US
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Telephone | 831-688-8856
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Fax | 831-728-3629
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Provider Business Mailing Address
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Address Line | 241 E LAKE AVE
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City | WATSONVILLE
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State | CA
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Zip | 95076-4717
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Country | US
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Telephone | 831-688-8856
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Fax | 831-728-3629
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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 | 18928
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License Number State | CA
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