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General NPI Number Information
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NPI Number | 1225577364
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Entity Type | Individual
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Provider Name | PATRICIA NERO WINKLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 25975 NORMANDIE AVE
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City | HARBOR CITY
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State | CA
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Zip | 90710
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Country | US
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Telephone | 424-251-7555
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Fax | 424-251-7552
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Provider Business Mailing Address
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Address Line | 925 CARA PL
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City | SAN PEDRO
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State | CA
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Zip | 90731-1454
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Country | US
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Telephone | 310-413-5346
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Fax | 424-251-7552
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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 | LCS15748
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License Number State | CA
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