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General NPI Number Information
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NPI Number | 1457774739
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Entity Type | Organization
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Legal Business Name | EVERYDAY RESTORATIVE, INC.
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 507 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-3213
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Country | US
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Telephone | 559-241-9832
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Fax |
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Provider Business Mailing Address
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Address Line | 507 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-3213
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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 | BENZION PEREZ
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Credential |
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Telephone | 559-241-9832
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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 | 49919
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License Number State | CA
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