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General NPI Number Information
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NPI Number | 1104082460
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Entity Type | Individual
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Provider Name | VANESSA LINDA CRUZ TORRES LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 4740 N GRAND AVE
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City | COVINA
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State | CA
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Zip | 91724-2005
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Country | US
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Telephone | 626-422-8033
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Fax | 626-859-6537
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Provider Business Mailing Address
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Address Line | 4024 DURFEE AVE
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City | EL MONTE
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State | CA
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Zip | 91732-2510
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Country | US
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Telephone | 626-455-4610
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Fax | 213-949-2847
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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 | 29302
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License Number State | CA
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