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General NPI Number Information
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NPI Number | 1699255448
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Entity Type | Individual
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Provider Name | KATHERINE BRINTON HURLEY ASW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 2046 ALLEN AVE # 100
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City | ALTADENA
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State | CA
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Zip | 91001-3424
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Country | US
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Telephone | 626-396-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 QUINTERO ST APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90026-3459
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Country | US
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Telephone | 847-309-2704
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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 | 89658
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License Number State | CA
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