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General NPI Number Information
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NPI Number | 1851070940
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Entity Type | Individual
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Provider Name | VANESSA NICOLE ARZATE LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 15635 ALTON PKWY STE 350
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City | IRVINE
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State | CA
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Zip | 92618-7333
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Country | US
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Telephone | 949-528-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 24102 HOLLYOAK APT B
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City | ALISO VIEJO
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State | CA
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Zip | 92656-6966
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Country | US
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Telephone | 714-856-1194
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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 | 109194
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License Number State | CA
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