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General NPI Number Information
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NPI Number | 1831378298
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Entity Type | Individual
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Provider Name | CYNTHIA YAEL HAAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 17418 CHATSWORTH ST STE 201-B
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City | GRANADA HILLS
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State | CA
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Zip | 91344
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Country | US
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Telephone | 818-280-9824
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Fax |
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Provider Business Mailing Address
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Address Line | 17533 COHASSET ST
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City | LAKE BALBOA
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State | CA
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Zip | 91406-2316
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Country | US
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Telephone | 310-614-8119
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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 |
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License Number State |
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