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General NPI Number Information
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NPI Number | 1174562631
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Entity Type | Individual
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Provider Name | CHARLES D. WEINSTEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 2200 W MAGNOLIA BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1734
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Country | US
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Telephone | 818-995-4840
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Fax | 626-441-6940
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Provider Business Mailing Address
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Address Line | 2275 HUNTINGTON DR # 352
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City | SAN MARINO
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State | CA
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Zip | 91108-2640
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Country | US
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Telephone | 818-995-4840
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Fax | 626-441-6940
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY8953
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License Number State | CA
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