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General NPI Number Information
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NPI Number | 1013704618
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Entity Type | Organization
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Legal Business Name | NBB GROUP PC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 11515 W WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-5913
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Country | US
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Telephone | 310-435-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 11515 W WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-5913
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Country | US
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Telephone | 310-435-5509
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH ESSAS
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Credential |
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Telephone | 310-435-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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