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General NPI Number Information
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NPI Number | 1144136748
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Entity Type | Organization
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Legal Business Name | LARRY FERNANDEZ, LICENSED CLINICAL SOCIAL WORKER APC
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 9953 GUATEMALA AVE
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City | DOWNEY
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State | CA
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Zip | 90240-2047
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Country | US
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Telephone | 562-305-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 9953 GUATEMALA AVE
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City | DOWNEY
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State | CA
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Zip | 90240-2047
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Country | US
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Telephone | 562-305-8996
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. LARRY FERNANDEZ
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Credential | LCSW
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Telephone | 562-305-8996
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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 |
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License Number State |
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