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General NPI Number Information
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NPI Number | 1629273420
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Entity Type | Individual
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Provider Name | FORD STEWART LOVERIN M.S.W. L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9449 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-2814
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Country | US
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Telephone | 562-657-2056
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Fax | 562-657-4925
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Provider Business Mailing Address
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Address Line | 1142 S ROSS ST
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City | SANTA ANA
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State | CA
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Zip | 92707-1220
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Country | US
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Telephone | 714-953-8551
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Fax | 562-657-4925
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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 | LCS10815
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License Number State | CA
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