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General NPI Number Information
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NPI Number | 1871838185
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Entity Type | Organization
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Legal Business Name | AUTISM RESPOND TEAM, INC.
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 16946 SHERMAN WAY
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City | VAN NUYS
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State | CA
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Zip | 91406-3613
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Country | US
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Telephone | 818-401-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 16946 SHERMAN WAY
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City | VAN NUYS
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State | CA
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Zip | 91406-3613
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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 | PSYCHOLOGIST
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Name | ALI SADEGHI
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Credential |
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Telephone | 818-401-0661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 01-09-5010
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License Number State | CA
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