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General NPI Number Information
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NPI Number | 1386763498
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Entity Type | Individual
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Provider Name | ANA LY M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 851 N. OAKLAND AVE.
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City | PASADENA
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State | CA
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Zip | 91104-1934
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Country | US
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Telephone | 626-395-7100
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 6193
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City | ROSEMEAD
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State | CA
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Zip | 91770-1261
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Country | US
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Telephone | 626-975-8743
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW 30478
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License Number State | CA
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