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General NPI Number Information
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NPI Number | 1033460423
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Entity Type | Organization
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Legal Business Name | RICHARD PERLA PHD AND ASSOCIATES
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 11530 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-1662
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Country | US
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Telephone | 562-943-6000
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Fax | 562-943-6006
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Provider Business Mailing Address
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Address Line | 11530 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-1162
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Country | US
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Telephone | 562-943-6000
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. RICHARD JOSEPH PERLA
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Credential | PH.D.
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Telephone | 562-943-6000
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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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