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General NPI Number Information
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NPI Number | 1225253982
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Entity Type | Individual
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Provider Name | JAN BERLIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 20567 PARADISE LN
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City | TOPANGA
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State | CA
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Zip | 90290-3735
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Country | US
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Telephone | 310-395-7807
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Fax | 310-455-0199
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Provider Business Mailing Address
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Address Line | PO BOX 86
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City | TOPANGA
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State | CA
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Zip | 90290-0086
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Country | US
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Telephone | 310-395-7807
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Fax | 310-455-0199
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 6999
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License Number State | CA
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