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General NPI Number Information
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NPI Number | 1780945410
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Entity Type | Individual
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Provider Name | NOELLE A. STANFIELD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 02/24/2024
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Provider Practice Location Address
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Address Line | 340 SUNSET AVE
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City | VENICE
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State | CA
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Zip | 90291-2632
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Country | US
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Telephone | 424-231-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 9854 NATIONAL BLVD # 1066
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City | LOS ANGELES
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State | CA
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Zip | 90034-2713
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Country | US
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Telephone | 424-239-9380
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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 | LCSW74232
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License Number State | CA
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