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General NPI Number Information
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NPI Number | 1659853844
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Entity Type | Individual
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Provider Name | JOSEPH SANDS
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Gender | Male
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 5950 CANOGA AVE STE 100
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-5052
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Country | US
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Telephone | 818-340-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 4517 FULTON AVE APT A
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3256
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Country | US
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Telephone | 818-517-2261
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 34717
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License Number State | CA
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