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General NPI Number Information
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NPI Number | 1578915807
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Entity Type | Individual
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Provider Name | ELIZABETH YESENIA RAMOS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 501 S ATLANTIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2621
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Country | US
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Telephone | 323-268-9191
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11748
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City | LOS ANGELES
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State | CA
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Zip | 90011-0748
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Country | US
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Telephone | 323-296-9718
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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 | 71660
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 98408
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License Number State | CA
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