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General NPI Number Information
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NPI Number | 1013209972
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Entity Type | Individual
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Provider Name | ERICA ELIZABETH BOOKER MSW
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 2277 TOWNSGATE RD STE 102
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2415
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Country | US
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Telephone | 805-870-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 2060D E AVENIDA DE LOS ARBOLES # 148
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-1376
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Country | US
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Telephone | 805-870-5155
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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