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General NPI Number Information
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NPI Number | 1245847201
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Entity Type | Organization
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Legal Business Name | OOTIFY PLUS HEALTH GROUP, INC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 11980 SAN VICENTE BLVD STE 910
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City | LOS ANGELES
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State | CA
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Zip | 90049-6607
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Country | US
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Telephone | 424-581-7276
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Fax |
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Provider Business Mailing Address
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Address Line | 907 WESTWOOD BLVD STE 611
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City | LOS ANGELES
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State | CA
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Zip | 90024-2904
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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 | CHIEF MEDICAL OFFICER
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Name | DR. PAUL RAJESH PURI
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Credential | MD
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Telephone | 310-989-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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