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General NPI Number Information
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NPI Number | 1477953149
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Entity Type | Individual
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Provider Name | MELINDA VILLARREAL LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 6800 OWENSMOUTH AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303
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Country | US
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Telephone | 818-610-6751
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Fax |
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Provider Business Mailing Address
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Address Line | 23501 CINEMA DR STE 210
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City | VALENCIA
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State | CA
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Zip | 91355-5430
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Country | US
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Telephone | 661-288-4800
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Fax | 661-254-3528
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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 | LCSW12124
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License Number State | CA
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