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General NPI Number Information
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NPI Number | 1396079273
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Entity Type | Organization
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Legal Business Name | WESTWOOD INSTITUTE FOR ANXIETY DISORDERS
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 921 WESTWOOD BLVD STE 223
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City | LOS ANGELES
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State | CA
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Zip | 90024-2942
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Country | US
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Telephone | 310-443-0031
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Fax | 310-443-1553
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Provider Business Mailing Address
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Address Line | 921 WESTWOOD BLVD STE 223
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City | LOS ANGELES
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State | CA
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Zip | 90024-2942
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Country | US
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Telephone | 310-443-0031
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Fax | 310-443-1553
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EDA GORBIS
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Credential | PH.D, MFCC
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Telephone | 310-443-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 32501
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License Number State | CA
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