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General NPI Number Information
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NPI Number | 1962567636
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Entity Type | Individual
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Provider Name | CYNTHIA ANNE HALE PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/23/2006
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 4306 VERANO ST
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City | CARPINTERIA
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State | CA
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Zip | 93013-1213
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Country | US
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Telephone | 805-585-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1287
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City | CARPINTERIA
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State | CA
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Zip | 93014-1287
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Country | US
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Telephone | 805-509-3095
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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 | LCS 22165
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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 | R038084-1
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License Number State | NY
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