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General NPI Number Information
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NPI Number | 1932335122
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Entity Type | Organization
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Legal Business Name | MANAGEMENT HEALTH SYSTEMS
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 16550 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-2004
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Country | US
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Telephone | 310-628-9512
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Fax | 818-812-9018
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Provider Business Mailing Address
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Address Line | PO BOX 8270
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City | NORTHRIDGE
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State | CA
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Zip | 91327-8270
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Country | US
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Telephone | 310-628-9518
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Fax | 818-812-9018
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. EDNA MILLER
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Credential |
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Telephone | 310-628-9512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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