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General NPI Number Information
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NPI Number | 1235475963
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Entity Type | Individual
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Provider Name | ELIZABETH E AIHIE CSW
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Gender | Female
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 24511 W JAYNE AVE
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City | COALINGA
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State | CA
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Zip | 93210
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Country | US
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Telephone | 559-934-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 745 N FOWLER AVE APT 232
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City | CLOVIS
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State | CA
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Zip | 93611-6876
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Country | US
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Telephone | 816-674-8113
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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 | ASW 26120
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License Number State | CA
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