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General NPI Number Information
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NPI Number | 1720026420
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Entity Type | Individual
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Provider Name | KHRISTINE ELAINE EROSHEVICH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16133 VENTURA BLVD SUITE 1220
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City | ENCINO
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State | CA
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Zip | 91436-2403
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Country | US
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Telephone | 818-784-2011
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Fax | 818-784-2077
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Provider Business Mailing Address
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Address Line | 501 S BEVERLY DR THIRD FLOOR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4562
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Country | US
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Telephone | 310-277-7351
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Fax | 310-556-0253
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C37980
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License Number State | CA
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