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General NPI Number Information
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NPI Number | 1487782090
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Entity Type | Individual
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Provider Name | MICHAEL BLAIR SILVERMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 921 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3303
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Country | US
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Telephone | 310-668-6924
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Fax |
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Provider Business Mailing Address
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Address Line | 5479 E ABBEYFIELD ST STE 3
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City | LONG BEACH
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State | CA
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Zip | 90815-3050
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Country | US
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Telephone | 562-498-5900
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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 | LCS 19542
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License Number State | CA
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