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General NPI Number Information
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NPI Number | 1174410294
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Entity Type | Organization
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Legal Business Name | ANGELS BEHAVIORAL THERAPY GROUP
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 15315 MAGNOLIA BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1100
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Country | US
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Telephone | 510-329-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 15315 MAGNOLIA BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1100
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Country | US
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Telephone | 510-329-3240
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ODETTE G SABIO
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Credential |
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Telephone | 510-329-3240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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