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General NPI Number Information
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NPI Number | 1174005003
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Entity Type | Organization
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Legal Business Name | EPARTHENOS
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 23504 LYONS AVE #304
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City | SANTA CLARITA
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State | CA
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Zip | 91321
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Country | US
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Telephone | 818-636-5357
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Fax | 818-697-9255
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Provider Business Mailing Address
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Address Line | 27581 PAMPLICO DR.
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City | VALENICA
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State | CA
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Zip | 91354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRENE BEHNAN
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Credential | CLINICAL PSYCHOLOGIS
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Telephone | 818-636-5357
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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 | 23505
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License Number State | CA
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