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General NPI Number Information
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NPI Number | 1407198385
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Entity Type | Individual
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Provider Name | GERRI I WASHINGTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 6330 RUGBY AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4066
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Country | US
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Telephone | 213-598-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 5042 S CENTENNIAL CIR
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City | ONTARIO
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State | CA
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Zip | 91762-7207
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Country | US
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Telephone | 323-547-6888
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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 | 81242
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License Number State | CA
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