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General NPI Number Information
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NPI Number | 1275860504
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Entity Type | Individual
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Provider Name | ANA G AVILES ASW
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Gender | Female
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 22211 FOOTHILL BLVD
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City | HAYWARD
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State | CA
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Zip | 94541-2712
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Country | US
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Telephone | 510-598-7294
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Fax |
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Provider Business Mailing Address
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Address Line | 615 CENTRAL AVE APT 202
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City | ALAMEDA
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State | CA
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Zip | 94501-3839
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Country | US
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Telephone | 510-355-7382
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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 | 26252
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License Number State | CA
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