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General NPI Number Information
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NPI Number | 1477616969
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Entity Type | Organization
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Legal Business Name | CECILE J COOPER MSW LCSW A PROFESSIONAL CORP
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16255 VENTURA BL #806
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City | ENCINO
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State | CA
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Zip | 91436-2317
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Country | US
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Telephone | 818-990-2356
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Fax | 818-990-2356
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Provider Business Mailing Address
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Address Line | 16255 VENTURA BL #806
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City | ENCINO
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State | CA
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Zip | 91436-2317
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Country | US
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Telephone | 818-990-2356
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Fax | 818-990-2356
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Authorized Official
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Title or Position | PHYCHOTHERAPIST PRIVATE PRACTICE
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Name | MS. CECILE J COOPER
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Credential | MSW
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Telephone | 818-990-2356
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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 | 437
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License Number State | CA
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