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NPI 1447868526

NPI 1447868526 : FOR BETTER COGNITIVE CENTER INC : GRANADA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1447868526
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOR BETTER COGNITIVE CENTER INC 
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Dates
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    Enumeration Date     |    07/15/2020
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    Last Update Date     |    08/25/2020
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Provider Practice Location Address
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    Address Line         |    11925 VARA PL 
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    City                 |    GRANADA HILLS
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    State                |    CA
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    Zip                  |    91344-2100
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    Country              |    US
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    Telephone            |    818-212-9722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    44902 10TH ST W 
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    City                 |    LANCASTER
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    State                |    CA
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    Zip                  |    93534-2314
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. HERMILITO  VILLAR 
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    Credential           |    MD
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    Telephone            |    818-212-9722
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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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