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General NPI Number Information
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NPI Number | 1962808071
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Entity Type | Individual
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Provider Name | GRACE DUNLEVY LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 3063 ORLEANS DR
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City | OXNARD
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State | CA
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Zip | 93036-5330
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Country | US
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Telephone | 909-831-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 9909 LAS CRUCES ST
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City | VENTURA
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State | CA
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Zip | 93004-2311
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Country | US
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Telephone |
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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 | 26899
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License Number State | CA
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