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NPI 1972078053

NPI 1972078053 : MS. CHEROKEE HILL : QUARTZ HIU, CA

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General NPI Number Information
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    NPI Number           |    1972078053
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    Entity Type          |    Individual 
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    Provider Name        |    MS. CHEROKEE HILL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2018
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    Last Update Date     |    10/04/2018
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Provider Practice Location Address
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    Address Line         |    42055 50TH ST. W 
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    City                 |    QUARTZ HIU
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    State                |    CA
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    Zip                  |    93536
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    Country              |    US
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    Telephone            |    310-621-0150
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2010 W. AVE. K #63B 
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    City                 |    LANCASTER
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    State                |    CA
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    Zip                  |    93536
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    Country              |    US
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    Telephone            |    310-383-9934
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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       |    ASW84643
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    License Number State |    CA
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