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General NPI Number Information
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NPI Number | 1013141506
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Entity Type | Individual
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Provider Name | BONNIE CLAIRE TAFF L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 1972 S. CRESCENT HEIGHTS BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90035
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Country | US
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Telephone | 323-933-7534
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Fax | 323-937-7875
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Provider Business Mailing Address
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Address Line | 1072 S CRESCENT HEIGHTS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-2633
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Country | US
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Telephone | 323-933-7534
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Fax | 323-937-7875
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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 | LCS5925
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License Number State | CA
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