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General NPI Number Information
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NPI Number | 1487165650
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Entity Type | Individual
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Provider Name | DEBORAH L STERN PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 6360 W 5TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-4718
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Country | US
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Telephone | 323-549-9479
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Fax | 323-549-9171
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Provider Business Mailing Address
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Address Line | 11911 SAN VICENTE BLVD STE 353
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City | LOS ANGELES
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State | CA
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Zip | 90049-6611
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Country | US
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Telephone | 310-613-1933
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | M-12972
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License Number State | CA
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