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General NPI Number Information
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NPI Number | 1033938535
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Entity Type | Organization
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Legal Business Name | DR. KAY PSYCHOLOGY INC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3611 MOTOR AVE STE 240
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City | LOS ANGELES
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State | CA
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Zip | 90034-5887
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Country | US
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Telephone | 424-237-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 21213 HAWTHORNE BLVD STE B
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City | TORRANCE
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State | CA
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Zip | 90503-5522
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Country | US
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Telephone | 424-237-8811
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KAY MIMAKI
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Credential | PH.D.
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Telephone | 424-237-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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