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General NPI Number Information
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NPI Number | 1679841001
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Entity Type | Individual
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Provider Name | FORREST HONG LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 6230 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-5126
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Country | US
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Telephone | 323-395-7068
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Fax | 323-931-6948
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Provider Business Mailing Address
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Address Line | 1253 S ORANGE DR
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City | LOS ANGELES
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State | CA
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Zip | 90019-1545
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Country | US
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Telephone | 323-395-7068
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Fax | 323-931-6948
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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 | LCS16534
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License Number State | CA
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