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General NPI Number Information
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NPI Number | 1053518761
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Entity Type | Individual
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Provider Name | STANLEY JAY SILVERSTEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10101 SLATER AVE SUITE 237
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4733
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Country | US
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Telephone | 714-293-4857
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 WARNER AVE #142
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-4659
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Country | US
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Telephone | 714-293-4857
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY5396
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License Number State | CA
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