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NPI 1134717390

NPI 1134717390 : MS. RITU LAL : BEVERLY HILLS, CA

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General NPI Number Information
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    NPI Number           |    1134717390
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    Entity Type          |    Individual 
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    Provider Name        |    MS. RITU LAL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2021
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    Last Update Date     |    09/09/2024
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Provider Practice Location Address
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    Address Line         |    9350 WILSHIRE BLVD STE 212 
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90212-3204
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    Country              |    US
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    Telephone            |    227-531-0271
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4322 GENTRY AVE APT 102 
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    City                 |    STUDIO CITY
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    State                |    CA
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    Zip                  |    91604-1781
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    Country              |    US
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    Telephone            |    323-219-2039
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    148554
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    License Number State |    CA
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