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General NPI Number Information
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NPI Number | 1801930763
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Entity Type | Individual
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Provider Name | SALLY NG LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 6800 OWENSMOUTH AVE STE 160
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City | CANOGA PARK
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State | CA
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Zip | 91303-4255
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Country | US
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Telephone | 818-610-6741
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Fax | 818-347-8748
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Provider Business Mailing Address
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Address Line | 12544 OTSEGO ST
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-2932
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Country | US
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Telephone | 818-769-1171
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Fax | 818-769-1773
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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 | LCS26071
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License Number State | CA
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