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General NPI Number Information
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NPI Number | 1467505628
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Entity Type | Individual
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Provider Name | ANNE DEBRA KATZ PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1520 SAN PABLO ST SUITE 3000
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City | LOS ANGELES
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State | CA
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Zip | 90033-5310
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Country | US
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Telephone | 323-442-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 GRANDVIEW AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2219
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Country | US
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Telephone | 310-546-5841
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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 | LCS10787
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License Number State | CA
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