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General NPI Number Information
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NPI Number | 1659437713
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Entity Type | Individual
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Provider Name | CATHY DODGE WRIGHT LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD STE 423
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City | PASADENA
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State | CA
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Zip | 91101-2018
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Country | US
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Telephone | 626-793-7822
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Fax | 818-244-1866
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Provider Business Mailing Address
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Address Line | 712 PROSPECT DR
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City | GLENDALE
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State | CA
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Zip | 91205-3425
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Country | US
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Telephone | 626-793-7822
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Fax | 818-244-1866
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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 | 14279
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License Number State | CA
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