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General NPI Number Information
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NPI Number | 1801239355
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Entity Type | Individual
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Provider Name | BENJAMIN JOSHUA SCHREIBER CADC II
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Gender | Male
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 5714 NEWCASTLE AVE
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City | ENCINO
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State | CA
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Zip | 91316-1053
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Country | US
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Telephone | 323-459-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 5714 NEWCASTLE AVE
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City | ENCINO
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State | CA
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Zip | 91316-1053
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Country | US
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Telephone | 323-459-6495
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A4570409
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License Number State | CA
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