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General NPI Number Information
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NPI Number | 1760150957
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Entity Type | Individual
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Provider Name | VICTOR ALLEN ZIEGLER ASW
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Gender | Male
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 1149 S HILL ST STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90015-2895
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Country | US
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Telephone | 818-261-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 W BEVERLY BLVD # 323
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City | MONTEBELLO
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State | CA
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Zip | 90640-4139
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Country | US
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Telephone | 818-261-0005
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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 |
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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 | 109555
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License Number State | CA
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