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General NPI Number Information
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NPI Number | 1629994900
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Entity Type | Individual
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Provider Name | SHELBY BRYN LAYNE MSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 5535 BALBOA BLVD STE 202
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City | ENCINO
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State | CA
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Zip | 91316-1541
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Country | US
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Telephone | 818-646-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 21ST ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-4515
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Country | US
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Telephone | 818-646-7190
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW139640
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License Number State | CA
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