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General NPI Number Information
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NPI Number | 1922719145
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Entity Type | Individual
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Provider Name | BRIAN SPIEGEL
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Gender | Male
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 95 N MARENGO AVE STE 205
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City | PASADENA
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State | CA
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Zip | 91101-1755
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Country | US
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Telephone | 310-853-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 11907 CULVER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-6321
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Country | US
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Telephone | 310-853-0764
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | AMFT132805
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License Number State | CA
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