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General NPI Number Information
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NPI Number | 1962219311
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Entity Type | Individual
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Provider Name | SHARAY NICOLE ROBINSON ASW
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7801 FOLSOM BLVD STE 208
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City | SACRAMENTO
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State | CA
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Zip | 95826-2620
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Country | US
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Telephone | 916-538-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 8120 COTTONMILL CIR
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City | SACRAMENTO
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State | CA
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Zip | 95828-4418
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Country | US
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Telephone | 916-595-8990
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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 | ASW120423
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License Number State | CA
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