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General NPI Number Information
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NPI Number | 1982980355
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Entity Type | Individual
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Provider Name | MRS. VERONICA DENISE CLANTON-HIGGINS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 8220 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-3030
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Country | US
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Telephone | 323-778-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 15622 S TARRANT AVE
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City | COMPTON
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State | CA
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Zip | 90220-3229
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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