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General NPI Number Information
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NPI Number | 1740164615
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Entity Type | Individual
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Provider Name | GRACIELA M SANTAMARIA ACSW, PPSC/CWA
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 835 STANFORD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90021-1847
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Country | US
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Telephone | 213-896-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 523 N HARVARD BLVD APT 4
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City | LOS ANGELES
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State | CA
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Zip | 90004-1946
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Country | US
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Telephone | 323-698-6012
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 112759
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License Number State | CA
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