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General NPI Number Information
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NPI Number | 1952790792
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Entity Type | Organization
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Legal Business Name | LEAH KRINSKY ATKINS
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 1059 HARRISON AVE
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City | VENICE
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State | CA
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Zip | 90291-5022
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Country | US
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Telephone | 323-432-0689
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 533
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City | VENICE
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State | CA
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Zip | 90294-0533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MFT
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Name | LEAH KRINSKY ATKINS
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Credential |
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Telephone | 310-562-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 81396
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License Number State | CA
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