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General NPI Number Information
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NPI Number | 1467362517
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Entity Type | Organization
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Legal Business Name | IPW LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 19712 MACARTHUR BLVD STE 110
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City | IRVINE
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State | CA
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Zip | 92612-2407
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Country | US
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Telephone | 949-259-5123
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Fax | 949-288-0358
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Provider Business Mailing Address
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Address Line | 19712 MACARTHUR BLVD STE 110
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City | IRVINE
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State | CA
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Zip | 92612-2407
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Country | US
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Telephone | 949-259-5123
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Fax | 949-288-0358
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Authorized Official
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Title or Position | OWNER
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Name | LEILA HASHEMI
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Credential |
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Telephone | 562-756-0407
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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 |
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License Number State |
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