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General NPI Number Information
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NPI Number | 1457559304
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Entity Type | Individual
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Provider Name | RAPHAEL C NJOKU LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 2081 PALOS VERDES DR N
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City | LOMITA
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State | CA
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Zip | 90717-3701
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Country | US
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Telephone | 310-534-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS
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City | PASADENA
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State | CA
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Zip | 91188-0001
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Country | US
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Telephone | 626-405-7914
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Fax | 626-405-6768
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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 | LCS22657
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License Number State | CA
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