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General NPI Number Information
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NPI Number | 1992022842
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Entity Type | Individual
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Provider Name | S CHRISTOPHER NUNEZ PHD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 1081 WESTWOOD BLVD STE 212
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City | LOS ANGELES
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State | CA
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Zip | 90024-2925
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Country | US
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Telephone | 213-709-4453
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 WESTWOOD BLVD STE 212
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City | LOS ANGELES
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State | CA
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Zip | 90024-2925
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Country | US
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Telephone | 213-709-4453
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY23631
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License Number State | CA
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