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General NPI Number Information
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NPI Number | 1316746423
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Entity Type | Individual
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Provider Name | ELLEN SHEEHAN ASW
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 972 GOODRICH BLVD
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City | COMMERCE
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State | CA
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Zip | 90022-4114
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Country | US
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Telephone | 818-434-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 210 1/4 MAIN ST
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City | SEAL BEACH
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State | CA
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Zip | 90740-6318
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Country | US
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Telephone | 323-546-4414
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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 | ASW125860
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License Number State | CA
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