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General NPI Number Information
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NPI Number | 1124904412
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Entity Type | Individual
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Provider Name | NOEMY PONCE LCSW, PPSC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 12700 AVALON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90061-2730
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Country | US
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Telephone | 213-703-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 9519 LARAWAY AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-3657
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Country | US
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Telephone | 310-654-7236
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 96610
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License Number State | CA
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