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General NPI Number Information
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NPI Number | 1760117683
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Entity Type | Individual
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Provider Name | KIANNA BALINGIT ACSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 07/29/2023
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Provider Practice Location Address
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Address Line | 2650 E FOOTHILL BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3439
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Country | US
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Telephone | 626-577-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 E CHEVY CHASE DR
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City | GLENDALE
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State | CA
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Zip | 91206-2816
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Country | US
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Telephone | 323-301-9303
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | Y3611082
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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 | ASW115680
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License Number State | CA
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