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General NPI Number Information
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NPI Number | 1811585813
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Entity Type | Individual
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Provider Name | EMILY NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 611 S KINGSLEY DR
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City | LOS ANGELES
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State | CA
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Zip | 90005-2319
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Country | US
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Telephone | 213-201-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S HAVEN AVE STE 250
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City | ONTARIO
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State | CA
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Zip | 91761-2973
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Country | US
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Telephone | 909-749-5204
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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 | 137205
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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