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General NPI Number Information
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NPI Number | 1417098716
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Entity Type | Organization
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Legal Business Name | ALLIANCE PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15823 S WESTERN AVE
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City | GARDENA
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State | CA
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Zip | 90247-3703
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Country | US
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Telephone | 310-749-0317
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Fax | 310-373-2057
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Provider Business Mailing Address
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Address Line | 21143 HAWTHORNE BLVD # 460
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 310-749-0317
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Fax | 310-373-2057
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST CEO
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Name | DR. KIMEL A. LIMON
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Credential | PSYD
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Telephone | 310-749-0317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY17613
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License Number State | CA
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