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General NPI Number Information
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NPI Number | 1487806196
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Entity Type | Individual
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Provider Name | HANEEN ALGHITA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1249 OAK MESA DR
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City | LA VERNE
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State | CA
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Zip | 91750-1516
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Country | US
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Telephone | 909-374-0329
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2497
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City | WEST COVINA
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State | CA
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Zip | 91793-2497
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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 | 85730
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License Number State | CA
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