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General NPI Number Information
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NPI Number | 1932363140
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Entity Type | Individual
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Provider Name | SASHA MARIE SPEER DPT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 8929 S SEPULVEDA BLVD STE 412
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City | LOS ANGELES
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State | CA
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Zip | 90045-3634
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Country | US
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Telephone | 310-505-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 2046 HILLHURST AVE # 156
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City | LOS ANGELES
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State | CA
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Zip | 90027-2719
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Country | US
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Telephone | 424-214-9647
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 36334
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License Number State | CA
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