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General NPI Number Information
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NPI Number | 1205907524
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Entity Type | Individual
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Provider Name | BETHANY D. WARREN LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 16935 W BERNARDO DR STE 121
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City | SAN DIEGO
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State | CA
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Zip | 92127-1635
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Country | US
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Telephone | 858-345-6552
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Fax |
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Provider Business Mailing Address
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Address Line | 16935 W BERNARDO DR STE 121
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City | SAN DIEGO
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State | CA
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Zip | 92127-1635
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Country | US
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Telephone | 858-345-6552
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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 | LCS 22623
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License Number State | CA
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