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General NPI Number Information
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NPI Number | 1598404188
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Entity Type | Individual
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Provider Name | RUBY MICHELLE NAHAS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 9808 VENICE BLVD STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232-6824
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Country | US
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Telephone | 310-945-3350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 431015
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City | LOS ANGELES
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State | CA
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Zip | 90043-9015
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Country | US
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Telephone | 213-278-8460
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107304
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License Number State | CA
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