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General NPI Number Information
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NPI Number | 1548597040
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF CHILDREN AND FAMILY SERVICES
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 4060 WATSON PLAZA DR
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City | LAKEWOOD
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State | CA
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Zip | 90712-4033
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Country | US
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Telephone | 562-497-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 500 XIMENO AVE 209
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City | LONG BEACH
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State | CA
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Zip | 90814-1723
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Country | US
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Telephone | 562-497-3543
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Fax |
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Authorized Official
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Title or Position | CHILDREN'S SOCIAL WORKER
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Name | MS. DEBORAH BETH JAFFE
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Credential | LCSW
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Telephone | 562-497-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | LCS25775
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License Number State | CA
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