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General NPI Number Information
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NPI Number | 1164860458
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Entity Type | Individual
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Provider Name | ELLEN S TAKHER MD
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3435 E THOUSAND OAKS BLVD UNIT 3462
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City | THOUSAND OAKS
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State | CA
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Zip | 91359-7919
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Country | US
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Telephone | 747-666-7496
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Fax | 240-363-0010
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Provider Business Mailing Address
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Address Line | 3435 E THOUSAND OAKS BLVD UNIT 3462
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City | THOUSAND OAKS
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State | CA
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Zip | 91359-7919
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Country | US
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Telephone | 747-666-7496
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Fax | 240-363-0010
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | A167681
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A167681
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License Number State | CA
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