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General NPI Number Information
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NPI Number | 1760639876
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Entity Type | Individual
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Provider Name | KATHERINE ANN SPINA LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 3384 MOTOR AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3712
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Country | US
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Telephone | 970-708-7299
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Fax |
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Provider Business Mailing Address
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Address Line | 4169 VIA MARINA APT 310
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5330
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Country | US
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Telephone | 970-708-7299
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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 | LCSW77975
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License Number State | CA
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