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General NPI Number Information
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NPI Number | 1023149077
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Entity Type | Organization
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Legal Business Name | DIDI HIRSCH PSYCHIATRIC SERVICE
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 11133 WASHINGTON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-3918
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Country | US
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Telephone | 310-895-2300
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Fax | 310-895-2395
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Provider Business Mailing Address
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Address Line | 4760 SEPULVEDA BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4820
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Country | US
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Telephone | 310-390-6612
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Fax | 310-398-5690
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. KITA CURRY
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Credential | PH.D.
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Telephone | 310-751-5423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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