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General NPI Number Information
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NPI Number | 1053513960
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Entity Type | Individual
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Provider Name | JANIRA JACOUBS-BEYE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 04/16/2016
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Provider Practice Location Address
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Address Line | 5100 E LA PALMA AVE STE.104
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City | ANAHEIM
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State | CA
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Zip | 92807-2081
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Country | US
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Telephone | 714-261-9832
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Fax |
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Provider Business Mailing Address
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Address Line | 2790 AMBER CIR
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City | CORONA
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State | CA
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Zip | 92882-3661
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Country | US
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Telephone | 626-625-2094
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 23677
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License Number State | CA
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