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General NPI Number Information
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NPI Number | 1346638368
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Entity Type | Individual
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Provider Name | MICHAEL PANTIEL MSW,LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 875 S WESTLAKE BLVD STE 201
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2918
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Country | US
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Telephone | 818-341-3943
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 CAYTON AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2909
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Country | US
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Telephone | 818-341-3943
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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 | LCSW11397
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License Number State | CA
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