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General NPI Number Information
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NPI Number | 1386164184
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Entity Type | Organization
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Legal Business Name | ALLSTATE PSYCHOLOGICAL AND BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 4929 WILSHIRE BLVD STE 720
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City | LOS ANGELES
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State | CA
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Zip | 90010-3825
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Country | US
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Telephone | 718-338-3690
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Fax |
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Provider Business Mailing Address
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Address Line | 4929 WILSHIRE BLVD STE 720
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City | LOS ANGELES
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State | CA
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Zip | 90010-3825
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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 | OWNER
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Name | ISRAEL RUBENSTEIN
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Credential | PHD
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Telephone | 323-688-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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