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General NPI Number Information
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NPI Number | 1497082960
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Entity Type | Organization
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Legal Business Name | D&L DICKSTEIN ENTERPRISES
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 224 E OLIVE AVE STE 304
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City | BURBANK
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State | CA
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Zip | 91502-1251
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Country | US
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Telephone | 818-956-5905
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Fax | 818-956-5827
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Provider Business Mailing Address
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Address Line | 224 E OLIVE AVE STE 304
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City | BURBANK
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State | CA
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Zip | 91502-1251
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Country | US
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Telephone | 818-956-5905
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Fax | 818-956-5827
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Authorized Official
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Title or Position | OWNER
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Name | LEANNA GOLDMAN-DICKSTEIN
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Credential |
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Telephone | 818-956-5905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 194700076
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License Number State | CA
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