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General NPI Number Information
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NPI Number | 1447530191
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Entity Type | Individual
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Provider Name | ROYCE H BRANCH ASW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 3881 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90062-1105
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Country | US
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Telephone | 323-304-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 3881 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90062-1105
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Country | US
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Telephone | 626-698-9855
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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 | 124382
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License Number State | CA
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