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General NPI Number Information
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NPI Number | 1407774755
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Entity Type | Organization
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Legal Business Name | ENSIGHTFUL LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 1100 LELAND WAY
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City | BURBANK
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State | CA
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Zip | 91504-4113
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Country | US
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Telephone | 424-279-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 8549 WILSHIRE BLVD # 2489
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3104
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Country | US
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Telephone | 424-279-4288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARKUS ISSAC HICKS
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Credential |
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Telephone | 424-279-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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