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General NPI Number Information
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NPI Number | 1447590567
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Entity Type | Individual
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Provider Name | TRENETTA DIANA JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 5934 CIMARRON ST
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City | LOS ANGELES
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State | CA
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Zip | 90047-1008
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Country | US
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Telephone | 323-377-7169
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 W MANCHESTER AVE STE 210
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City | LOS ANGELES
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State | CA
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Zip | 90045-4423
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Country | US
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Telephone | 323-377-7169
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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 | LCS 29061
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License Number State | CA
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