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General NPI Number Information
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NPI Number | 1750996989
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Entity Type | Individual
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Provider Name | GRACIELA PIANGERELLI
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4760 SEPULVEDA BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4820
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Country | US
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Telephone | 310-390-6612
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Fax | 310-398-5690
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Provider Business Mailing Address
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Address Line | 19225 INDEX ST UNIT 1
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City | PORTER RANCH
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State | CA
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Zip | 91326-3728
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Country | US
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Telephone |
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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 |
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License Number State |
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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 | 130317
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License Number State | CA
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