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General NPI Number Information
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NPI Number | 1932484342
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Entity Type | Organization
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Legal Business Name | STRATAGEMA, A LICENSED CLINICAL SOCIAL WORKER CORP
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 2160 FLETCHER PKWY SUITE M
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City | EL CAJON
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State | CA
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Zip | 92020-2139
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Country | US
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Telephone | 619-694-8994
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Fax | 619-562-2584
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Provider Business Mailing Address
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Address Line | 1428 FILMORE PL
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City | CHULA VISTA
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State | CA
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Zip | 91913-1820
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Country | US
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Telephone | 619-694-8994
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC C FRANK
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Credential | LCSW
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Telephone | 619-694-8994
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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 | LCS22363
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License Number State | CA
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