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General NPI Number Information
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NPI Number | 1619161320
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Entity Type | Individual
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Provider Name | MARCELA MACIEL-RAMIREZ
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Gender | Female
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 5835 S EASTERN AVE
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City | COMMERCE
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State | CA
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Zip | 90040-4029
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Country | US
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Telephone | 323-725-4627
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Fax |
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Provider Business Mailing Address
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Address Line | 325 S OAK KNOLL AVE BLDG B5
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City | PASADENA
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State | CA
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Zip | 91101-3418
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Country | US
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Telephone | 323-804-9790
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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 | 60165
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License Number State | CA
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