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General NPI Number Information
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NPI Number | 1093272817
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Entity Type | Individual
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Provider Name | EMMA FAY SIMON HESS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 145 HODENCAMP RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5810
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Country | US
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Telephone | 805-701-7955
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Fax |
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Provider Business Mailing Address
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Address Line | 5119 AURORA DR
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City | VENTURA
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State | CA
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Zip | 93003-3907
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Country | US
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Telephone | 201-556-8951
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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 | 85240
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License Number State | CA
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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 | 102608
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License Number State | CA
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