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General NPI Number Information
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NPI Number | 1992955462
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Entity Type | Organization
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Legal Business Name | A PLACE FOR ALL SEASONS INC.
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 24011 HATTERAS STREET
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City | WOODLAND HILLS
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State | CA
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Zip | 91367
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Country | US
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Telephone | 818-279-5810
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Fax | 818-264-1106
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Provider Business Mailing Address
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Address Line | 24011 HATTERAS ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4034
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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 | VICE PRESIDENT
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Name | RONIT GOLDSTEIN
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Credential |
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Telephone | 818-279-5810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 197605696
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 197605696
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License Number State | CA
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