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General NPI Number Information
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NPI Number | 1750907804
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Entity Type | Individual
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Provider Name | AMY BETH SANCHEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1209 FAIRCHILD CT
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City | WOODLAND
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State | CA
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Zip | 95695-4321
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Country | US
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Telephone | 530-668-2610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15905
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City | SACRAMENTO
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State | CA
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Zip | 95852-0905
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Country | US
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Telephone |
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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 | 75907
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License Number State | CA
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