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General NPI Number Information
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NPI Number | 1053361600
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Entity Type | Individual
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Provider Name | TSOLINE KONIALIAN PSY D
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 4519 ROSEMEAD BLVD FL 2
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City | ROSEMEAD
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State | CA
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Zip | 91770
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Country | US
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Telephone | 626-524-2807
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Fax | 626-359-6535
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Provider Business Mailing Address
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Address Line | 750 TERRADO PLAZA, STE 40 PHYSICIANS BILLING & CONSULING SERVICE
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-524-2807
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Fax | 626-359-6565
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY19955
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License Number State | CA
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