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General NPI Number Information
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NPI Number | 1578815072
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Entity Type | Individual
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Provider Name | MARTHA ROSE LOPEZ DE ARMAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 153 JUNIPERO SERRA DR UNIT F
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City | SAN GABRIEL
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State | CA
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Zip | 91776-1255
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Country | US
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Telephone | 323-317-4642
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2027
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City | SAN GABRIEL
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State | CA
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Zip | 91778-2027
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Country | US
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Telephone | 323-317-4642
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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 | LCSW98931
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License Number State | CA
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