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General NPI Number Information
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NPI Number | 1659429652
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Entity Type | Organization
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Legal Business Name | AMI/HTI TARZANA ENCINO JOINT VENTURE
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 16237 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-2201
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Country | US
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Telephone | 818-881-0800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31001-0152
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City | PASADENA
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State | CA
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Zip | 91110-0001
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Country | US
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Telephone | 626-300-4122
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Fax | 818-907-8630
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Authorized Official
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Title or Position | VP OF TAXATION, TENET HEALTHCARE
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Name | MR. DOUGLAS E RABE
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Credential |
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Telephone | 469-893-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 930000051
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License Number State | CA
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