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General NPI Number Information
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NPI Number | 1346652997
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Entity Type | Individual
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Provider Name | JAMIAN DIANE REED D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 566 S SAN VICENTE BLVD STE 103S
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City | LOS ANGELES
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State | CA
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Zip | 90048-4650
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Country | US
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Telephone | 323-272-3515
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Fax | 323-916-6366
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 976276
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 909-833-6013
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Fax | 323-916-6366
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A14814
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License Number State | CA
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