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NPI 1346063047

NPI 1346063047 : LEAH REEVE MSW : SYLMAR, CA

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General NPI Number Information
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    NPI Number           |    1346063047
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH REEVE MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/02/2024
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    Last Update Date     |    02/02/2025
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Provider Practice Location Address
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    Address Line         |    16350 FILBERT ST 
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    City                 |    SYLMAR
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    State                |    CA
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    Zip                  |    91342-1002
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    Country              |    US
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    Telephone            |    818-364-2152
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9250 RESEDA BLVD STE 16 #309
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-5213
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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       |    128090
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    License Number State |    CA
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