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General NPI Number Information
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NPI Number | 1013888726
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Entity Type | Individual
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Provider Name | STEPHANIE ROTHNEY
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 291 S LA CIENEGA BLVD STE 403
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3311
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Country | US
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Telephone | 336-416-9861
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Fax |
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Provider Business Mailing Address
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Address Line | 11620 CHENAULT ST APT 504
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City | LOS ANGELES
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State | CA
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Zip | 90049-4667
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Country | US
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Telephone | 336-416-9861
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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 | 127765
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License Number State | NY
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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 | ASW131473
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License Number State | CA
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