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General NPI Number Information
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NPI Number | 1952664625
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Entity Type | Individual
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Provider Name | MICHELLE CAULEY LCSW., BCD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 9440 SANTA MONICA BLVD STE 301
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4614
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Country | US
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Telephone | 323-931-6025
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Fax | 323-931-6027
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Provider Business Mailing Address
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Address Line | 5757 WILSHIRE BLVD, STE 635
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City | LOS ANGELES
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State | CA
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Zip | 90036-3686
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Country | US
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Telephone | 323-931-6025
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Fax | 323-931-6027
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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 | LCS21583
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License Number State | CA
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