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General NPI Number Information
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NPI Number | 1730279175
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Entity Type | Organization
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Legal Business Name | ZECHARIA OREN
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1137 2ND ST STE 201
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City | SANTA MONICA
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State | CA
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Zip | 90403-5086
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Country | US
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Telephone | 310-808-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 GLENCOE AVE # 9651
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City | MARINA DEL REY
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State | CA
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Zip | 90292-9991
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Country | US
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Telephone | 310-808-4510
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ZECHARIA OREN
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Credential | PH.D
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Telephone | 562-497-1505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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