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General NPI Number Information
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NPI Number | 1972133387
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Entity Type | Individual
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Provider Name | YUSUF TOLIVER
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Gender | Male
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1027 S CENTRAL AVE SUITE 200
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City | GLENDALE
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State | CA
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Zip | 91204
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Country | US
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Telephone | 818-324-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N PASS AVE # 82
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City | BURBANK
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State | CA
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Zip | 91505-3859
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Country | US
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Telephone | 818-324-8168
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1130
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License Number State | CA
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