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General NPI Number Information
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NPI Number | 1639420078
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Entity Type | Organization
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Legal Business Name | SWANSON, CONTI AND ASSOCIATES
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 5400 BALBOA BLVD SUITE 311
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City | ENCINO
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State | CA
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Zip | 91316-1502
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Country | US
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Telephone | 818-986-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 BALBOA BLVD SUITE 311
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City | ENCINO
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State | CA
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Zip | 91316-1502
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Country | US
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Telephone | 818-986-9666
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID SWANSON
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Credential | PSYD
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Telephone | 818-986-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PSY16742
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License Number State | CA
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