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General NPI Number Information
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NPI Number | 1811382567
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Entity Type | Individual
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Provider Name | ERIN SAMPLIN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 760 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90024-5055
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Country | US
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Telephone | 310-825-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 760 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90024-5055
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A146344
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License Number State | CA
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