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General NPI Number Information
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NPI Number | 1891989612
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Entity Type | Individual
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Provider Name | APRIL DENISE THAMES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 760 WESTWOOD PLZ # C8-746
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City | LOS ANGELES
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State | CA
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Zip | 90095-8353
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Country | US
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Telephone | 310-268-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 760 WESTWOOD PLZ # C8-746
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City | LOS ANGELES
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State | CA
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Zip | 90095-8353
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Country | US
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Telephone | 310-268-3078
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY25052
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY25052
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License Number State | CA
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