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General NPI Number Information
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NPI Number | 1750335162
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Entity Type | Individual
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Provider Name | CHARLOTTE NELL ELERDING L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10850 RIVERSIDE DR SUITE 501
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-3937
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Country | US
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Telephone | 818-623-0256
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Fax | 818-623-0256
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Provider Business Mailing Address
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Address Line | 4274 NAVAJO AVE
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City | TOLUCA LAKE
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State | CA
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Zip | 91602-2914
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Country | US
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Telephone | 818-753-8811
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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 | LCS16328
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License Number State | CA
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