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General NPI Number Information
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NPI Number | 1285905182
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Entity Type | Individual
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Provider Name | JANET LYNN BLAWN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 06/16/2017
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Provider Practice Location Address
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Address Line | 3208 ROSEMEAD BLVD STE 200 ENKI HEALTH AND RESEARCH SYSTEMS - ADMINISTRATIVE OFFIC
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City | EL MONTE
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State | CA
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Zip | 91731-2830
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Country | US
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Telephone | 310-218-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 11432 SOUTH ST # 271
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City | CERRITOS
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State | CA
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Zip | 90703-6611
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Country | US
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Telephone | 310-218-9992
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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 | LCSW76933
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License Number State | CA
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