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General NPI Number Information
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NPI Number | 1306908504
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Entity Type | Organization
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Legal Business Name | OF ONE MIND LLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 SOUTH BARRINGTON AVE SUITE 300
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-479-9065
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Fax | 310-268-1200
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE SUITE 300
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City | LOS ANGELES
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State | CA
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Zip | 90025
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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 | PRESIDENT
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Name | MR. RICHARD BRUCE COHEN
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Credential | LMFT MAC CCBT CDVC
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Telephone | 310-479-9065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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