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General NPI Number Information
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NPI Number | 1750860904
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Entity Type | Individual
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Provider Name | DAVID RICHARD DREW MSW
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Gender | Male
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2940 INLAND EMPIRE BLVD
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City | ONTARIO
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State | CA
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Zip | 91764-4898
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Country | US
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Telephone | 909-458-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 5330 SAN BERNARDINO ST
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City | MONTCLAIR
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State | CA
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Zip | 91763-2952
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Country | US
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Telephone | 833-579-4848
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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 | 91497
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 126084
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License Number State | CA
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