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General NPI Number Information
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NPI Number | 1407962814
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Entity Type | Organization
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Legal Business Name | MORRIS HALPERIN PHD A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 633 SO. LA BREA AVE.
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City | LOS ANGELES
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State | CA
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Zip | 90036
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Country | US
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Telephone | 818-575-9023
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1519
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City | STUDIO CITY
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State | CA
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Zip | 91614
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Country | US
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Telephone | 818-575-9023
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST PRESIDENT
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Name | MORRIS HALPERIN
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Credential | PHD
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Telephone | 818-575-9023
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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 | PSY6376
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License Number State | CA
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