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General NPI Number Information
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NPI Number | 1720787864
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Entity Type | Organization
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Legal Business Name | GAIL GARCIA LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 1294 E 1ST AVE # 120
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City | CHICO
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State | CA
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Zip | 95926-1543
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Country | US
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Telephone | 530-588-5817
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W EAST AVE # A153
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City | CHICO
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State | CA
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Zip | 95926-7235
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Country | US
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Telephone | 530-624-2607
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAIL GARCIA
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Credential |
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Telephone | 530-588-5817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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