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NPI 1053513432

NPI 1053513432 : DAVID E BRESLER PHD, LAC, DIPLAC, : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1053513432
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID E BRESLER PHD, LAC, DIPLAC,
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    07/23/2013
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Provider Practice Location Address
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    Address Line         |    1800 THAYER AVE UNIT A
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-6180
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    Country              |    US
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    Telephone            |    310-474-2777
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    Fax                  |    310-474-2777
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Provider Business Mailing Address
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    Address Line         |    30765 PACIFIC COAST HWY SUITE 355
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    City                 |    MALIBU
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    State                |    CA
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    Zip                  |    90265-3646
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    Country              |    US
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    Telephone            |    310-474-2777
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    Fax                  |    310-474-2777
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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        |    103TH0004X
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    Taxonomy Name        |    Health Psychologist
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    License Number       |    PSY4685
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC126
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    License Number State |    CA
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