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General NPI Number Information
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NPI Number | 1891701553
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Entity Type | Individual
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Provider Name | INGER MARIE ACKING MSW LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 1305 FRANKLIN STREET SUITE 506
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City | OAKLAND
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State | CA
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Zip | 94612-3213
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Country | US
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Telephone | 510-528-9865
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Fax | 510-238-9212
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Provider Business Mailing Address
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Address Line | 1305 FRANKLIN STREET SUITE 506
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City | OAKLAND
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State | CA
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Zip | 94612-3213
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Country | US
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Telephone | 510-528-9865
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Fax | 510-238-9212
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS12559
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License Number State | CA
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