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General NPI Number Information
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NPI Number | 1730105149
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Entity Type | Individual
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Provider Name | THOMAS ARTHUR GRIEDER MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | VAGLAHS- EAST LA PCT SUITE 150 5400 E OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-5147
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Country | US
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Telephone | 323-725-7557
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Fax | 323-725-7577
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Provider Business Mailing Address
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Address Line | VAGLAHS- EAST LA PCT SUITE 150 5400 E OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-5147
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Country | US
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Telephone | 323-725-7557
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Fax | 323-725-7577
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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 | G70853
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License Number State | CA
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