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General NPI Number Information
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NPI Number | 1629216031
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Entity Type | Organization
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Legal Business Name | DR. NAGAR MEDICAL PSYCHOLOGY CENTER INC
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 14901 RINALDI ST STE 335
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City | MISSION HILLS
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State | CA
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Zip | 91345-1237
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Country | US
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Telephone | 818-361-7717
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Fax | 818-831-7090
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Provider Business Mailing Address
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Address Line | PO BOX 7729
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City | NORTHRIDGE
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State | CA
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Zip | 91327-7729
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Country | US
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Telephone | 818-361-7717
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Fax | 818-831-7090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZIVA B. NAGAR
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Credential | PH.D
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Telephone | 818-361-7717
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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 | PSY13502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY13502
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License Number State | CA
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