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General NPI Number Information
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NPI Number | 1437314093
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Entity Type | Individual
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Provider Name | JOSEPHINE LOPEZ SON LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 303 W HENDERSON AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-1732
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Country | US
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Telephone | 559-306-9753
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Fax | 559-213-5849
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Provider Business Mailing Address
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Address Line | P.O. BOX 1471
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City | PORTERVILLE
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State | CA
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Zip | 93258-1471
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Country | US
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Telephone | 559-213-5849
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Fax | 559-781-7353
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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 | LCS 23539
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License Number State | CA
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