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General NPI Number Information
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NPI Number | 1831869866
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Entity Type | Individual
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Provider Name | ANGELINA SUAREZ-POPPLEWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 3853 ROSECRANS ST
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City | SAN DIEGO
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State | CA
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Zip | 92110
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Country | US
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Telephone | 917-569-7849
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Fax |
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Provider Business Mailing Address
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Address Line | 941 ORANGE AVE # 136
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City | CORONADO
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State | CA
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Zip | 92118-2609
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Country | US
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Telephone | 917-569-7849
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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 | 149018768
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License Number State | IL
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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 | 107222
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License Number State | CA
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