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General NPI Number Information
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NPI Number | 1578659355
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Entity Type | Individual
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Provider Name | PERRIN ANNE ELISHA PHD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 1328 WESTWOOD BLVD #7
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City | LOS ANGELES
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State | CA
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Zip | 90024
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Country | US
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Telephone | 310-857-6474
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Fax | 303-484-5165
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Provider Business Mailing Address
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Address Line | 1328 WESTWOOD BLVD #7
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City | LOS ANGELES
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State | CA
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Zip | 90024
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Country | US
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Telephone | 310-857-6474
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Fax | 303-484-5165
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NM66972
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY21535
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License Number State | CA
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