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General NPI Number Information
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NPI Number | 1205659653
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Entity Type | Individual
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Provider Name | FARAH AL AZAWI
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 3150 18TH ST STE 350MBOX
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2074
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Country | US
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Telephone | 760-596-9917
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Fax |
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Provider Business Mailing Address
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Address Line | 23575 MADISON AVE
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City | MURRIETA
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State | CA
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Zip | 92562-6013
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Country | US
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Telephone | 760-596-9917
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW125264
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License Number State | CA
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