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General NPI Number Information
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NPI Number | 1487478327
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Entity Type | Individual
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Provider Name | HANNAH THUONG HOAI MANOFF ACSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 39159 PASEO PADRE PKWY # 403
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City | FREMONT
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State | CA
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Zip | 94538-1608
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Country | US
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Telephone | 866-484-8049
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Fax |
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Provider Business Mailing Address
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Address Line | 15621 VANOWEN ST
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City | VAN NUYS
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State | CA
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Zip | 91406-7210
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Country | US
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Telephone | 858-775-0302
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW123081
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License Number State | CA
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