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General NPI Number Information
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NPI Number | 1023376852
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Entity Type | Organization
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Legal Business Name | DENNIS D. STEELE, PHD A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 17215 STUDEBAKER RD SUITE 300
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City | CERRITOS
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State | CA
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Zip | 90703-2548
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Country | US
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Telephone | 562-924-7307
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Fax | 562-860-9398
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Provider Business Mailing Address
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Address Line | 17215 STUDEBAKER RD SUITE 300
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City | CERRITOS
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State | CA
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Zip | 90703-2548
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Country | US
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Telephone | 562-924-7307
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Fax | 562-860-9398
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | PROF. DENNIS DICK STEELE
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Credential | PHD
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Telephone | 562-924-7307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY4331
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License Number State | CA
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