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General NPI Number Information
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NPI Number | 1013947571
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Entity Type | Individual
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Provider Name | LAYA M. TAMAR M.S.W
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 30497 CANWOOD ST
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4330
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Country | US
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Telephone | 805-496-2455
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Fax | 805-496-9981
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Provider Business Mailing Address
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Address Line | 449 HILLSBOROUGH ST
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1345
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Country | US
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Telephone | 805-496-2455
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Fax | 855-928-4288
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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 | 986030
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License Number State | CO
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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 | LCS19994
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License Number State | CA
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