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General NPI Number Information
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NPI Number | 1720440084
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Entity Type | Individual
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Provider Name | BITA TEBYANI PSY.D
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Gender | Female
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 9107 WILSHIRE BLVD STE 350
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5555
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Country | US
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Telephone | 310-285-8121
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Fax | 310-285-8123
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Provider Business Mailing Address
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Address Line | 9107 WILSHIRE BLVD STE 350
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5555
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Country | US
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Telephone | 310-285-8121
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Fax | 310-285-8123
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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 | PSY27881
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License Number State | CA
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