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General NPI Number Information
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NPI Number | 1528368735
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Entity Type | Organization
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Legal Business Name | SOCIAL SERVICE PROFESSIONALS
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 6938 LAUREL CANYON BLVD., UNIT 316
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605
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Country | US
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Telephone | 310-497-3718
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Fax |
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Provider Business Mailing Address
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Address Line | 11835 W. OLYMPIC LVD., STE. 1090
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City | LOS ANGELES
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State | CA
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Zip | 90064
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Country | US
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Telephone | 310-473-4448
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. MERYL STERN
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Credential |
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Telephone | 310-473-4448
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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 |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | CA
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