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General NPI Number Information
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NPI Number | 1356200224
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Entity Type | Individual
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Provider Name | JENNIFER BIRDSONG
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-700-5605
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Fax |
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Provider Business Mailing Address
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Address Line | 15446 SHERMAN WAY BLD 3 APT 329 3-329
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City | VAN NUYS
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State | CA
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Zip | 91406-4259
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Country | US
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Telephone | 818-700-5605
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Fax | 818-885-5443
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95084975
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License Number State | CA
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