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General NPI Number Information
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NPI Number | 1972369809
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Entity Type | Individual
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Provider Name | ANDREW NICHOLAS DENNETT LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 9777 WILSHIRE BLVD STE 1007
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1901
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Country | US
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Telephone | 310-461-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 1128
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-356-9544
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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 | 136239
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License Number State | CA
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