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General NPI Number Information
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NPI Number | 1912289703
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Entity Type | Individual
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Provider Name | EDNA CATHERINA ADLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 533 PETERS AVE STE 205
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City | PLEASANTON
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State | CA
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Zip | 94566-6586
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Country | US
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Telephone | 925-989-0967
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Fax |
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Provider Business Mailing Address
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Address Line | 380 W M ST
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City | BENICIA
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State | CA
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Zip | 94510-2708
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Country | US
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Telephone | 510-292-9224
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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 | 75602
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License Number State | CA
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