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General NPI Number Information
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NPI Number | 1780827220
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Entity Type | Individual
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Provider Name | RUDOLPH SANCHEZ COUNSELOR
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 21600 OXNARD ST STE 1800
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7807
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Country | US
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Telephone | 818-345-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 942 S ATLANTIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4004
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Country | US
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Telephone | 323-263-9700
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Fax | 323-263-8042
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-41321
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License Number State | CA
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