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General NPI Number Information
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NPI Number | 1205126307
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Entity Type | Organization
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Legal Business Name | NADINE WINOCUR PSY D A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 3814 DUNN DR 2ND FL
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City | CULVER CITY
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State | CA
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Zip | 90232-2735
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Country | US
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Telephone | 310-990-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 11664 NATIONAL BLVD #278
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City | LOS ANGELES
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State | CA
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Zip | 90064-3802
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Country | US
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Telephone | 424-603-4410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NADINE WINOCUR
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Credential | PSY.D.
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Telephone | 424-603-4410
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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 | PSY15391
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License Number State | CA
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