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NPI 1902390164

NPI 1902390164 : JAIME KATHERINE ZEHNER LCSW : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1902390164
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    Entity Type          |    Individual 
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    Provider Name        |    JAIME KATHERINE ZEHNER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2018
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    Last Update Date     |    08/30/2021
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Provider Practice Location Address
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    Address Line         |    5445 LAUREL HILLS DR 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95841-3105
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    Country              |    US
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    Telephone            |    916-609-5100
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    Fax                  |    916-609-5160
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4317 
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    City                 |    CITRUS HEIGHTS
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    State                |    CA
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    Zip                  |    95611-4317
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    Country              |    US
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    Telephone            |    916-215-8990
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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       |    95565
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    79917
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    License Number State |    CA
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