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General NPI Number Information
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NPI Number | 1619009396
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Entity Type | Individual
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Provider Name | KELLY DANAE WARNER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 439 N CANON DR STE 209
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4897
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Country | US
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Telephone | 310-271-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 4935 RIGOLETTO ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2816
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Country | US
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Telephone | 818-486-0323
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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 | LCS20697
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License Number State | CA
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