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General NPI Number Information
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NPI Number | 1205457868
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Entity Type | Individual
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Provider Name | PATRICIA AREVALO-PORCELLI LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 1515 N VERMONT AVE FL 8
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City | LOS ANGELES
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State | CA
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Zip | 90027-5337
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Country | US
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Telephone | 323-783-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 3047 CLOUDCREST RD
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City | LA CRESCENTA
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State | CA
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Zip | 91214-1305
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Country | US
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Telephone | 626-755-0108
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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 | LCS18954
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License Number State | CA
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