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General NPI Number Information
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NPI Number | 1578148938
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Entity Type | Organization
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Legal Business Name | PJ THERAPY SERVICES INC.
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 3808 W RIVERSIDE DR STE 500
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City | BURBANK
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State | CA
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Zip | 91505-5301
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Country | US
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Telephone | 714-865-8158
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Fax |
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Provider Business Mailing Address
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Address Line | 4954 BILOXI AVE
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City | N HOLLYWOOD
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State | CA
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Zip | 91601-4813
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Country | US
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Telephone | 714-865-8158
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAMELA K. GERHARD - JOHNSON
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Credential | LMFT
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Telephone | 714-865-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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