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General NPI Number Information
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NPI Number | 1588333496
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Entity Type | Individual
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Provider Name | SHIRLEY LEBOVICS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 9300 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3213
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Country | US
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Telephone | 323-810-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 132 N LAS PALMAS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90004-1048
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Country | US
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Telephone | 323-810-5958
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCS17268
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License Number State | CA
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