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General NPI Number Information
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NPI Number | 1821177817
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Entity Type | Individual
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Provider Name | VIVIAN CASTANEDA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 3211 LETICIA DR
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6223
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Country | US
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Telephone | 323-591-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 20651 GOLDEN SPRINGS DR STE F #3100
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City | WALNUT
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State | CA
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Zip | 91789-3866
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Country | US
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Telephone | 323-591-4884
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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 | ASW 18403
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License Number State | CA
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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 | 28471
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License Number State | CA
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