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General NPI Number Information
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NPI Number | 1487007480
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Entity Type | Individual
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Provider Name | YESENIA GONZALEZ TAPIA
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Gender | Female
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 9650 ZELZAH AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2003
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Country | US
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Telephone | 818-993-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 19197 GOLDEN VALLEY RD # 718
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City | SANTA CLARITA
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State | CA
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Zip | 91387-1428
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Country | US
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Telephone |
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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 | ASW72661
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 103801
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License Number State | CA
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