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General NPI Number Information
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NPI Number | 1942073002
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Entity Type | Individual
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Provider Name | ROGER HUANG PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1849 SAWTELLE BLVD STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90025-7013
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Country | US
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Telephone | 424-210-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD # 614
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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Country | US
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Telephone | 424-210-7724
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Fax | 800-493-9423
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95037394
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95296380
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN61393139
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License Number State | WA
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