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General NPI Number Information
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NPI Number | 1497466924
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Entity Type | Individual
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Provider Name | TONYA MELYNN ANTHONY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 349 E AVENUE K6 STE A
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City | LANCASTER
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State | CA
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Zip | 93535-4548
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Country | US
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Telephone | 661-723-4260
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Fax | 661-723-6975
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Provider Business Mailing Address
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Address Line | PO BOX 1531
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City | INGLEWOOD
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State | CA
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Zip | 90308-1531
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Country | US
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Telephone | 310-592-9627
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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 | LCSW127664
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License Number State | CA
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