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General NPI Number Information
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NPI Number | 1720943327
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Entity Type | Individual
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Provider Name | VANESSA A FIERRO ACSW
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Gender |
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 855 N ORANGE GROVE BLVD
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City | PASADENA
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State | CA
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Zip | 91103-3333
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Country | US
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Telephone | 626-296-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 14615 ASTORIA ST
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City | SYLMAR
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State | CA
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Zip | 91342-4634
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Country | US
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Telephone | 818-471-1035
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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 | 136070
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License Number State | CA
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