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General NPI Number Information
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NPI Number | 1235122607
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Entity Type | Individual
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Provider Name | BONNIE ZIVETZ SILVERMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 12301 WILSHIRE BLVD STE 416
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City | LOS ANGELES
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State | CA
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Zip | 90025-1007
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Country | US
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Telephone | 310-826-8284
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Fax | 310-839-1507
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Provider Business Mailing Address
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Address Line | 12301 WILSHIRE BLVD STE 416
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City | LOS ANGELES
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State | CA
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Zip | 90025-1051
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Country | US
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Telephone | 310-560-5840
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Fax | 310-839-1507
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCS12086
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License Number State | CA
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