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General NPI Number Information
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NPI Number | 1992199103
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Entity Type | Organization
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Legal Business Name | JAMES MEYER
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 25 CADILLAC DR STE #132
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City | SACRAMENTO
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State | CA
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Zip | 95825-8349
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Country | US
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Telephone | 916-494-9218
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Fax | 916-282-1698
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Provider Business Mailing Address
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Address Line | 25 CADILLAC DR STE #132
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City | SACRAMENTO
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State | CA
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Zip | 95825-8349
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Country | US
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Telephone | 916-494-9218
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Fax | 916-282-1698
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. JAMES MEYER
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Credential | LCSW
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Telephone | 916-494-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW62672
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW62672
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License Number State | CA
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