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NPI 1326923103

NPI 1326923103 : EMILY MEGAN GOLDIN : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1326923103
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY MEGAN GOLDIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2025
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    Last Update Date     |    08/24/2025
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Provider Practice Location Address
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    Address Line         |    200 UCLA MEDICAL PLZ STE 502 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90095-8344
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    Country              |    US
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    Telephone            |    310-307-6133
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4682 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91359-1682
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    Country              |    US
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    Telephone            |    
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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       |    126297
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    License Number State |    CA
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