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General NPI Number Information
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NPI Number | 1043961733
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Entity Type | Individual
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Provider Name | ALEJANDRA VEGA LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 351 W FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90003-1808
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Country | US
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Telephone | 323-447-7129
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Fax | 323-789-5693
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Provider Business Mailing Address
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Address Line | 14748 TEXACO AVE APT D
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City | PARAMOUNT
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State | CA
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Zip | 90723-5756
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Country | US
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Telephone | 323-447-7129
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Fax | 323-789-5693
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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 | 80081
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License Number State | CA
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