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General NPI Number Information
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NPI Number | 1124058540
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Entity Type | Individual
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Provider Name | TERRY ANN GARCIA LCSW
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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 | 03/02/2020
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Provider Practice Location Address
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Address Line | 12627 SANTA GERTRUDES AVE STE B
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City | LA MIRADA
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State | CA
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Zip | 90638-2533
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Country | US
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Telephone | 714-905-2669
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Fax | 562-947-8839
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Provider Business Mailing Address
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Address Line | 12627 SANTA GERTRUDES AVE STE B
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City | LA MIRADA
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State | CA
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Zip | 90638-2533
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Country | US
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Telephone | 562-947-8832
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Fax | 562-947-8839
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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 | LSC22750
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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 | LCS22750
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License Number State | CA
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