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General NPI Number Information
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NPI Number | 1710643572
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Entity Type | Organization
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Legal Business Name | ARETEHEALTH
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 865 COMSTOCK AVE SUITE 6F
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City | LOS ANGELES
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State | CA
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Zip | 90024-2581
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Country | US
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Telephone | 310-848-8505
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Fax |
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Provider Business Mailing Address
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Address Line | 324 S BEVERLY DR STE 1211
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4801
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Country | US
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Telephone | 310-848-8505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALFRED ROBENZADEH
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Credential | MD
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Telephone | 310-848-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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