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General NPI Number Information
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NPI Number | 1891583282
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Entity Type | Organization
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Legal Business Name | HEATHER NAVARRO, LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 17031 TOKATA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307
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Country | US
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Telephone | 385-243-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 17031 TOKATA RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307
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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 | CREDENTIALING SPECIALIST
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Name | MUHAMMAD ALI
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Credential |
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Telephone | 201-855-3011
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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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