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General NPI Number Information
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NPI Number | 1023057981
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Entity Type | Organization
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Legal Business Name | SAPOZHNIKOV & PSYCHOLOGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 150 S COMMONWEALTH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90004-6006
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Country | US
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Telephone | 310-592-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 11301 W OLYMPIC BLVD STE 121-440
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City | LOS ANGELES
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State | CA
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Zip | 90064-1653
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Country | US
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Telephone | 310-592-1758
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Fax | 310-772-0640
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZHANNA SAPOZHNIKOV
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Credential | PSY.D
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Telephone | 310-592-1758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY19517
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License Number State | CA
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