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General NPI Number Information
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NPI Number | 1962885905
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Entity Type | Individual
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Provider Name | ANGELA CASARES LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 850 E WARDLOW RD
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City | LONG BEACH
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State | CA
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Zip | 90807-4628
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Country | US
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Telephone | 562-981-9392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3231
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City | WHITTIER
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State | CA
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Zip | 90605-0231
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Country | US
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Telephone | 714-851-5952
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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 | LCSW102886
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License Number State | CA
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