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General NPI Number Information
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NPI Number | 1982946620
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Entity Type | Individual
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Provider Name | MISS SARA NEVIUS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1160 BRICKYARD COVE RD STE 111
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City | PT RICHMOND
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State | CA
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Zip | 94801-4112
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Country | US
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Telephone | 510-942-3507
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 BRICKYARD COVE RD STE 111
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City | PT RICHMOND
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State | CA
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Zip | 94801-4112
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Country | US
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Telephone | 510-942-3507
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116809
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License Number State | CA
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