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General NPI Number Information
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NPI Number | 1215318423
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Entity Type | Organization
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Legal Business Name | RAYMOND NOURMAND, PH.D.
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 11911 SAN VICENTE BLVD SUITE 240
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City | LOS ANGELES
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State | CA
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Zip | 90049-5086
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Country | US
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Telephone | 310-963-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 11911 SAN VICENTE BLVD SUITE 240
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City | LOS ANGELES
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State | CA
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Zip | 90049-5086
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Country | US
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Telephone | 310-963-4007
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RAYMOND SALAR NOURMAND
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Credential | PH.D.
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Telephone | 310-963-4007
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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 | PSY 26470
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License Number State | CA
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