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General NPI Number Information
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NPI Number | 1689016842
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Entity Type | Individual
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Provider Name | GAIL L. ZELLMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 15300 VENTURA BLVD SUITE 317
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3103
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Country | US
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Telephone | 310-459-0367
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Fax | 310-392-9790
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Provider Business Mailing Address
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Address Line | 15300 VENTURA BLVD SUITE 317
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3103
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Country | US
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Telephone | 310-459-0367
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Fax | 310-392-9790
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY11938
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License Number State | CA
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