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General NPI Number Information
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NPI Number | 1215693023
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Entity Type | Organization
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Legal Business Name | BLENDZ THERAPY, INC.
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 14717 HAWTHORNE BLVD STE B
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City | LAWNDALE
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State | CA
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Zip | 90260-1580
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Country | US
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Telephone | 323-854-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 12110 JUNIETTE ST
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City | CULVER CITY
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State | CA
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Zip | 90230-6234
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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 | OWNER
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Name | LAUREN FRIEDMAN
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Credential | MS, OTR/L
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Telephone | 323-854-6648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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