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General NPI Number Information
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NPI Number | 1114583796
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Entity Type | Individual
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Provider Name | JERRI L WERKSMAN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2019
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Last Update Date | 05/19/2019
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Provider Practice Location Address
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Address Line | 9014 BURTON WAY
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1618
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Country | US
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Telephone | 888-494-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 247 N SWALL DR APT AB
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2017
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Country | US
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Telephone | 954-557-7076
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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