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General NPI Number Information
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NPI Number | 1043151871
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Entity Type | Individual
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Provider Name | BRIAN DECAL
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Gender | Male
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 14149 BUCHER AVE BLDG D
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City | SYLMAR
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State | CA
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Zip | 91342-1442
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Country | US
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Telephone | 747-999-4232
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Fax | 818-479-7549
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Provider Business Mailing Address
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Address Line | 7609 PONCE AVE
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City | WEST HILLS
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State | CA
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Zip | 91304-5436
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Country | US
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Telephone | 818-577-3281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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