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General NPI Number Information
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NPI Number | 1427178003
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Entity Type | Individual
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Provider Name | MARIA R CRUZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 6736 LAUREL CANYOUN BLVD STE 200
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606
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Country | US
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Telephone | 818-755-8786
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Fax | 818-755-8789
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Provider Business Mailing Address
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Address Line | 10529 FLORALITA AVE APT 34
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City | SUNLAND
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State | CA
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Zip | 91040-2827
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Country | US
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Telephone | 818-293-8709
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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 | LCSW 71710
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License Number State | CA
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