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General NPI Number Information
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NPI Number | 1386896066
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Entity Type | Organization
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Legal Business Name | SHERRI NADER, INC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD STE 920
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City | ENCINO
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State | CA
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Zip | 91436-2611
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Country | US
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Telephone | 818-888-9636
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Fax | 818-888-9713
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD STE 920
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City | ENCINO
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State | CA
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Zip | 91436-2611
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Country | US
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Telephone | 818-888-9636
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Fax | 818-888-9713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERRI NADER
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Credential | PSY.D., L.C.S.W.
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Telephone | 818-888-9636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCS 22848
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY 22116
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License Number State | CA
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