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General NPI Number Information
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NPI Number | 1912116534
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Entity Type | Organization
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Legal Business Name | C. G. JUNG INSTITUTE OF LOS ANGELES
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 10349 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2608
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Country | US
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Telephone | 310-556-1193
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Fax | 310-556-2290
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Provider Business Mailing Address
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Address Line | 10349 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2608
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Country | US
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Telephone | 310-556-1193
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Fax | 310-556-2290
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. STEVEN J. FRANK
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Credential | PH.D.
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Telephone | 310-556-1193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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