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General NPI Number Information
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NPI Number | 1437539962
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Entity Type | Individual
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Provider Name | DEBRA ROSENBERG
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 13652 CANTARA ST BUILDING 6 , DEPT OF SOCIAL MEDICINE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-4294
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Fax | 818-375-3852
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Provider Business Mailing Address
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Address Line | 13652 CANTARA ST BUILDING 6 , DEPT OF SOCIAL MEDICINE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-4294
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Fax | 818-375-3852
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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 | LCSW22553
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License Number State | CA
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