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General NPI Number Information
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NPI Number | 1851823710
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Entity Type | Organization
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Legal Business Name | HEATHER PARENTI, LICENSED CLINICAL SOCIAL WORKE, I
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 27710 JEFFERSON AVE 205
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City | TEMECULA
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State | CA
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Zip | 92590-4604
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Country | US
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Telephone | 951-805-4025
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Fax | 951-380-8487
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Provider Business Mailing Address
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Address Line | 27710 JEFFERSON AVE 205
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City | TEMECULA
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State | CA
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Zip | 92590-4604
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Country | US
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Telephone | 951-805-4025
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Fax | 951-380-8487
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HEATHER LOUISE PARENTI
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Credential | L.C.S.W.
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Telephone | 951-805-4025
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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 | LCS19194
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License Number State | CA
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