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General NPI Number Information
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NPI Number | 1891434858
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Entity Type | Organization
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Legal Business Name | CAITLIN BILLINGS INC LICENSED CLINICAL SOCIAL WORKER
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Dates
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Enumeration Date | 05/29/2022
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Last Update Date | 05/29/2022
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Provider Practice Location Address
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Address Line | 1214 POMONA ST STE B
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City | CROCKETT
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State | CA
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Zip | 94525-1188
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Country | US
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Telephone | 510-592-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 ROSE ST
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City | CROCKETT
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State | CA
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Zip | 94525-1362
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Country | US
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Telephone | 510-967-3058
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAITLIN EMMA BILLINGS
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Credential | LCSW
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Telephone | 510-967-3058
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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 |
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License Number State |
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