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General NPI Number Information
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NPI Number | 1124517123
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Entity Type | Organization
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Legal Business Name | CALIFORNIA INSTITUTE OF NEUROPSYCHIATRY, INC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 2100 LYNN RD STE 120
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-8033
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Country | US
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Telephone | 805-795-7656
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Fax | 805-618-1501
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Provider Business Mailing Address
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Address Line | 3435 E THOUSAND OAKS BLVD UNIT 3789
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91359-7930
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Country | US
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Telephone | 805-795-7656
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Fax | 805-618-1501
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | IRINA MURAVYEVA
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Credential |
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Telephone | 805-795-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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