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General NPI Number Information
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NPI Number | 1992281216
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Entity Type | Individual
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Provider Name | CYNTHIA JOHANNA ROSA MSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 2150 W 190TH ST
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City | TORRANCE
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State | CA
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Zip | 90504-6103
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Country | US
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Telephone | 323-768-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 E 87TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90002-1203
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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 | 83514
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License Number State | CA
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