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General NPI Number Information
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NPI Number | 1801268719
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Entity Type | Individual
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Provider Name | ESTEPHA FRANCISQUE LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST STE 2C
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 916-382-2733
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Fax | 510-619-2022
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Provider Business Mailing Address
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Address Line | 1266 TRACY CIR
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City | VALLEJO
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State | CA
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Zip | 94591-8585
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Country | US
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Telephone | 916-382-2733
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Fax | 510-619-2022
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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 | LCSW85391
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License Number State | CA
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