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General NPI Number Information
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NPI Number | 1710420385
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Entity Type | Organization
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Legal Business Name | THE ENCOUNTER GROUP
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 2626 FOOTHILL BLVD STE 203
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3574
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Country | US
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Telephone | 323-717-4160
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Fax | 818-275-3654
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Provider Business Mailing Address
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Address Line | 120 E CHEVY CHASE DR UNIT 251552
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City | GLENDALE
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State | CA
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Zip | 91225-8078
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Country | US
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Telephone | 323-717-4160
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Fax | 818-275-3654
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Authorized Official
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Title or Position | OWNER OF PRACTICE
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Name | PATRYCJA A MALINOWSKA
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Credential | LCSW
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Telephone | 323-717-4160
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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 | LCSW29507
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License Number State | CA
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