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General NPI Number Information
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NPI Number | 1811067978
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Entity Type | Individual
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Provider Name | DIANE BOONE SCARRITT LCSW, ACSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 100 MASONIC AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-4415
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Country | US
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Telephone | 415-351-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 645 CHETWOOD ST #202
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City | OAKLAND
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State | CA
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Zip | 94610-1462
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Country | US
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Telephone | 510-654-5237
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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 | LCS5899
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License Number State | CA
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