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General NPI Number Information
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NPI Number | 1467568121
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Entity Type | Individual
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Provider Name | SHARON SALFAS PHD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 11911 SAN VICENTE BLVD STE 240
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City | LA
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State | CA
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Zip | 90049
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Country | US
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Telephone | 310-415-1539
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Fax | 310-398-2603
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Provider Business Mailing Address
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Address Line | 3242 BARRY AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066
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Country | US
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Telephone | 310-415-1539
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Fax | 310-398-2603
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY 13859
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License Number State | CA
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