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General NPI Number Information
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NPI Number | 1083978449
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Entity Type | Individual
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Provider Name | ANYA KAUFMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/30/2012
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Last Update Date | 07/01/2012
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Provider Practice Location Address
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Address Line | 6433 PONCE AVE
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City | WEST HILLS
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State | CA
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Zip | 91307-3617
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Country | US
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Telephone | 818-304-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 5650 TOPEKA DR
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City | TARZANA
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State | CA
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Zip | 91356-1314
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Country | US
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Telephone | 818-304-6419
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Fax | 818-708-7437
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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 | LCS21915
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License Number State | CA
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