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General NPI Number Information
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NPI Number | 1932277597
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Entity Type | Individual
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Provider Name | RENATA K AIDAR-CURRIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 625 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-5703
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Country | US
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Telephone | 619-804-6918
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 MADISON AVE UNIT 231
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City | SAN DIEGO
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State | CA
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Zip | 92116-5516
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Country | US
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Telephone | 619-804-6918
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Fax | 619-528-4625
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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 | 26063
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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 | 26063
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License Number State | CA
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