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General NPI Number Information
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NPI Number | 1467888339
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Entity Type | Organization
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Legal Business Name | ERICA MARCHAND PH.D., PSYCHOLOGIST APC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 8170 BEVERLY BLVD STE 200B
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City | LOS ANGELES
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State | CA
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Zip | 90048-4524
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Country | US
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Telephone | 310-955-1328
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Fax | 310-955-1328
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Provider Business Mailing Address
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Address Line | 8170 BEVERLY BLVD STE 200B
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City | LOS ANGELES
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State | CA
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Zip | 90048-4524
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Country | US
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Telephone | 310-955-1328
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Fax | 310-955-1328
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Authorized Official
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Title or Position | OWNER
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Name | ERICA JOY MARCHAND
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Credential | PH.D.
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Telephone | 310-955-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY 25492
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License Number State | CA
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