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General NPI Number Information
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NPI Number | 1588252233
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Entity Type | Organization
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Legal Business Name | DR. TINA WEBB LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1945 PALO VERDE AVE STE 203
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City | LONG BEACH
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State | CA
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Zip | 90815-3445
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Country | US
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Telephone | 323-470-6973
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2104
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City | LONG BEACH
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State | CA
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Zip | 90801-2104
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Country | US
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Telephone | 323-470-6973
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA WEBB
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Credential | DSW, LCSW
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Telephone | 562-760-7735
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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 |
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License Number State |
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