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General NPI Number Information
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NPI Number | 1023028248
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Entity Type | Organization
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Legal Business Name | DEL VALLE CLINIC, INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 1797 4TH ST
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City | LIVERMORE
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State | CA
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Zip | 94550-4347
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Country | US
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Telephone | 925-443-2500
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Fax | 925-443-0771
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Provider Business Mailing Address
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Address Line | 1797 4TH ST
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City | LIVERMORE
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State | CA
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Zip | 94550-4347
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Country | US
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Telephone | 925-443-2500
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Fax | 925-443-0771
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Authorized Official
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Title or Position | OWNER
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Name | NANCY OEHRLY
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Credential | PSY.D
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Telephone | 925-443-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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