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General NPI Number Information
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NPI Number | 1932033693
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Entity Type | Individual
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Provider Name | ALYSSA NICHOLI KOHLER ASW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 970 CAMERADO DR STE 200
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City | CAMERON PARK
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State | CA
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Zip | 95682-7636
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Country | US
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Telephone | 530-677-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 7735 LYTLE ST
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City | SACRAMENTO
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State | CA
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Zip | 95832-1110
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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 |
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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 | ASW137159
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License Number State | CA
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