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General NPI Number Information
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NPI Number | 1598399628
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Entity Type | Organization
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Legal Business Name | PROBILL CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 10736 JEFFERSON BLVD # 676
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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Country | US
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Telephone | 818-612-2974
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Fax |
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD # 676
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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Country | US
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Telephone | 818-612-2974
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Fax | 310-945-5554
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Authorized Official
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Title or Position | CEO
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Name | LUIS F RODRIGUEZ
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Credential |
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Telephone | 818-612-2974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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