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General NPI Number Information
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NPI Number | 1124043179
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Entity Type | Individual
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Provider Name | EDWARD JOHN BITTER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 19634 VENTURA BLVD STE. 325
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City | TARZANA
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State | CA
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Zip | 91356-2966
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Country | US
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Telephone | 818-345-2341
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Fax | 818-345-7736
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Provider Business Mailing Address
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Address Line | 17115 WILLIAMS OAK DR
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City | CYPRESS
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State | TX
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Zip | 77433-4543
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Country | US
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Telephone | 310-277-0190
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Fax | 281-758-5400
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY043401
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License Number State | CA
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