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General NPI Number Information
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NPI Number | 1295102630
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Entity Type | Organization
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Legal Business Name | SABATH & ASSOCIATES
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 1225 W 190TH ST SUITE 220
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City | GARDENA
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State | CA
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Zip | 90248-4320
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Country | US
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Telephone | 310-851-6020
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Fax | 310-323-6888
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Provider Business Mailing Address
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Address Line | 1225 W 190TH ST SUITE 200
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City | GARDENA
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State | CA
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Zip | 90248-4320
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Country | US
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Telephone | 310-851-6020
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Fax | 310-323-6888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLIFF SABATH
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Credential | PH.D.
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Telephone | 310-851-6020
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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 | PSY6872
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License Number State | CA
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