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General NPI Number Information
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NPI Number | 1811309206
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Entity Type | Individual
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Provider Name | SAUL JIMENEZ
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Gender | Male
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 221 N ARDMORE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90004-4503
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Country | US
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Telephone | 213-381-3626
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 SEPULVEDA BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4820
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Country | US
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Telephone | 213-381-3626
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 160442
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License Number State | CA
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