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General NPI Number Information
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NPI Number | 1922314368
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Entity Type | Organization
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Legal Business Name | TERRI L. LANGFORD, M.D., P.C.
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD SUITE 1130
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-995-6788
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Fax | 818-788-7594
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD SUITE 1130
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-995-6788
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Fax | 818-788-7594
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRI LYNN LANGFORD
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Credential | M.D.
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Telephone | 818-231-9360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G61761
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | G61761
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G61761
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License Number State | CA
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