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General NPI Number Information
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NPI Number | 1679939193
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Entity Type | Individual
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Provider Name | NINA DE LA O MORAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 5000 W SUNSET BLVD FL 4
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City | LOS ANGELES
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State | CA
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Zip | 90027-5861
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Country | US
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Telephone | 323-361-3240
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Fax | 323-953-8116
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Provider Business Mailing Address
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Address Line | 1427 FONTENOY AVE
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City | WHITTIER
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State | CA
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Zip | 90601-1324
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Country | US
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Telephone | 323-236-2376
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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 | 97696
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License Number State | CA
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