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General NPI Number Information
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NPI Number | 1790110922
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Entity Type | Individual
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Provider Name | PRISCILLA CESAR LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 600 CENTRAL AVE STE E1
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-2749
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Country | US
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Telephone | 951-394-1643
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Fax |
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Provider Business Mailing Address
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Address Line | 39520 MURRIETA HOT SPRINGS RD # 219-9
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City | MURRIETA
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State | CA
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Zip | 92563-7713
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Country | US
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Telephone | 951-394-1643
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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 | 75275
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License Number State | CA
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