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General NPI Number Information
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NPI Number | 1053583351
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Entity Type | Individual
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Provider Name | JANET RUTH BACHELER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 11246 PLEASANT VALLEY ROAD
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City | PENN VALLEY
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State | CA
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Zip | 95946
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Country | US
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Telephone | 530-798-7979
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Fax | 530-798-7979
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Provider Business Mailing Address
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Address Line | P.O. BOX 1482
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City | PENN VALLEY
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State | CA
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Zip | 95946-1482
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Country | US
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Telephone | 530-798-7979
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Fax | 530-798-7979
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY14701
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY14701
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License Number State | CA
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