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General NPI Number Information
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NPI Number | 1619344645
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Entity Type | Organization
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Legal Business Name | GEORGEA R. MUSCHEL
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 1460 7TH ST STE 306
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City | SANTA MONICA
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State | CA
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Zip | 90401-2632
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Country | US
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Telephone | 310-452-9166
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Fax | 310-452-1743
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Provider Business Mailing Address
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Address Line | 1460 7TH ST STE 306
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City | SANTA MONICA
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State | CA
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Zip | 90401-2632
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Country | US
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Telephone | 310-452-9166
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Fax | 310-452-1743
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Authorized Official
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Title or Position | PSYCHIATRIC SOCIAL WORKER
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Name | GEORGEA ROBIN MUSCHEL
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Credential | L.C.S.W.
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Telephone | 310-702-8233
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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 | LCS4512
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License Number State | CA
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