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General NPI Number Information
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NPI Number | 1538489349
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Entity Type | Individual
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Provider Name | DONNA A LERNER LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 12/26/2012
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Provider Practice Location Address
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Address Line | 5320 HIGHWAY 49 NORTH SUITE 1B
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City | MARIPOSA
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State | CA
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Zip | 95338
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Country | US
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Telephone | 209-742-3143
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Fax | 209-742-4695
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Provider Business Mailing Address
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Address Line | PO BOX 555
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City | OAKHURST
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State | CA
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Zip | 93644-0555
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Country | US
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Telephone | 209-742-3143
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Fax | 209-742-4695
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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 | 21302
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License Number State | CA
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