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General NPI Number Information
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NPI Number | 1366473506
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Entity Type | Individual
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Provider Name | LEONARD M VOSEN PH.D
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 17075 DEVONSHIRE ST SUITE 104
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1600
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Country | US
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Telephone | 818-885-5966
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Fax | 818-885-5966
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Provider Business Mailing Address
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Address Line | 17130 DEVONSHIRE ST SUITE 101
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1673
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Country | US
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Telephone | 818-885-5966
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Fax | 818-885-5966
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY3021
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License Number State | CA
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