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General NPI Number Information
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NPI Number | 1356473599
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Entity Type | Individual
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Provider Name | ADEN MICHAEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 510 S VERMONT AVE FL 22
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City | LOS ANGELES
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State | CA
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Zip | 90020-1912
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Country | US
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Telephone | 323-377-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 COUNTRY CLUB DR #3
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City | LOS ANGELES
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State | CA
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Zip | 90019-3301
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Country | US
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Telephone | 323-731-1433
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 63751
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License Number State | CA
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