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General NPI Number Information
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NPI Number | 1316623143
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Entity Type | Organization
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Legal Business Name | ROSANA ALANIZ, LICENSED CLINICAL SOCIAL WORKER, CORP.
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 135 E OLIVE AVE # 667
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City | BURBANK
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State | CA
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Zip | 91502-1820
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Country | US
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Telephone | 818-338-2707
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Fax | 818-304-9051
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Provider Business Mailing Address
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Address Line | 135 E OLIVE AVE # 667
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City | BURBANK
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State | CA
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Zip | 91502-1820
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Country | US
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Telephone | 818-338-2707
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Fax | 818-304-9051
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Authorized Official
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Title or Position | OWNER / AUTHORIZED OFFICIAL
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Name | ROSANA CORIA ALANIZ
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Credential | LCSW
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Telephone | 818-338-2702
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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