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General NPI Number Information
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NPI Number | 1528399060
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Entity Type | Individual
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Provider Name | LUDMILA ZAYTSEV PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 15335 MORRISON ST STE 205
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1585
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Country | US
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Telephone | 323-682-8225
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Fax | 323-729-3829
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Provider Business Mailing Address
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Address Line | 15335 MORRISON ST STE 205
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1585
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Country | US
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Telephone | 323-682-8225
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Fax | 323-729-3829
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 23050
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 23050
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License Number State | CA
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