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General NPI Number Information
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NPI Number | 1376847152
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Entity Type | Individual
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Provider Name | LINSEY L CARUSO ASW 19803
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Gender | Female
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 2629 CLARENDON AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4119
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Country | US
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Telephone | 323-584-3710
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Fax | 323-277-0718
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Provider Business Mailing Address
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Address Line | 900 N SCOTT AVE
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City | MONTEBELLO
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State | CA
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Zip | 90640-2822
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Country | US
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Telephone | 323-528-8038
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Fax | 323-277-0718
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW 19803
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License Number State | CA
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