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General NPI Number Information
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NPI Number | 1821299454
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Entity Type | Individual
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Provider Name | AMANDA ROWAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE SUITE 301
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 310-295-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 S CENTINELA AVE APT 3
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City | LOS ANGELES
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State | CA
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Zip | 90064-2775
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Country | US
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Telephone | 310-709-1670
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18768
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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 | 25096
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License Number State | CA
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