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NPI 1326913468

NPI 1326913468 : STEPHANIE CANSLER-DURR : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1326913468
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE CANSLER-DURR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2025
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    6153 COLGATE AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036-3127
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    Country              |    US
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    Telephone            |    323-433-4165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6407 10TH AVE APT 17 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90043-4136
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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    |    
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    
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    License Number State |    CA
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