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General NPI Number Information
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NPI Number | 1134557705
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Entity Type | Organization
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Legal Business Name | INNER ACTIONS, LLC
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 17609 VENTURA BLVD STE 215
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City | ENCINO
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State | CA
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Zip | 91316-5126
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Country | US
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Telephone | 818-571-9841
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Fax |
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Provider Business Mailing Address
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Address Line | 16530 VENTURA BLVD 600
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City | ENCINO
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State | CA
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Zip | 91436-4554
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Country | US
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Telephone | 818-990-0429
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LOREE CARYL COHEN
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Credential | LCSW
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Telephone | 818-571-9841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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