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General NPI Number Information
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NPI Number | 1639687007
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Entity Type | Individual
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Provider Name | HARLEY QUINZEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 309 E HILLCREST BLVD UNIT 1131
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City | INGLEWOOD
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State | CA
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Zip | 90301-2405
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Country | US
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Telephone | 323-205-5539
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Fax |
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Provider Business Mailing Address
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Address Line | 141 W AVENUE 31 APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90031-1882
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Country | US
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Telephone | 323-205-5539
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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 | 114979
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 114979
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 101025
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License Number State | NY
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