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General NPI Number Information
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NPI Number | 1528375144
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Entity Type | Individual
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Provider Name | JOAN WEINGAST SAPERSTEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 10271 MONTE MAR DR
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City | LOS ANGELES
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State | CA
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Zip | 90064-3426
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Country | US
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Telephone | 310-204-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 8920 WILSHIRE BLVD STE 545
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2009
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Country | US
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Telephone | 310-204-0407
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G43274
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License Number State | CA
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