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General NPI Number Information
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NPI Number | 1861732141
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Entity Type | Organization
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Legal Business Name | ALLISON KAWA, PSY.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 12381 WILSHIRE BLVD SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-1063
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Country | US
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Telephone | 310-387-2888
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Fax | 310-820-7970
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Provider Business Mailing Address
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Address Line | 12381 WILSHIRE BLVD SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-1063
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Country | US
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Telephone | 310-387-2888
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Fax | 310-820-7970
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLISON KAWA
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Credential | PSY.D.
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Telephone | 310-387-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY23700
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License Number State | CA
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