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General NPI Number Information
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NPI Number | 1508336892
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Entity Type | Individual
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Provider Name | PRIYA JITTU
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Gender | Female
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 201 N DOUGLAS ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4637
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Country | US
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Telephone | 310-725-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 13534 CORDARY AVE UNIT 5
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City | HAWTHORNE
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State | CA
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Zip | 90250-7459
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Country | US
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Telephone | 818-571-2183
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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