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General NPI Number Information
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NPI Number | 1780939629
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Entity Type | Individual
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Provider Name | JANIS A POWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 4405 W RIVERSIDE DR SUITE 209
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City | BURBANK
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State | CA
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Zip | 91505-4072
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Country | US
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Telephone | 818-643-1836
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Fax | 818-578-8653
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Provider Business Mailing Address
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Address Line | 5333 ZELZAH AVE 342
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City | ENCINO
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State | CA
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Zip | 91316-2221
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Country | US
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Telephone | 818-643-1836
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Fax | 818-578-8653
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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 | 44SL05471900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33344
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 70414
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License Number State | CA
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