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General NPI Number Information
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NPI Number | 1790932937
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Entity Type | Individual
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Provider Name | JESSE BERMAN SANDLER
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Gender | Male
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD SUITE 724
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 310-285-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 223 S BARRINGTON AVE APT. # 1
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City | LOS ANGELES
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State | CA
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Zip | 90049-3326
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Country | US
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Telephone | 310-962-5405
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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