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General NPI Number Information
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NPI Number | 1063610004
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Entity Type | Individual
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Provider Name | CHASSITY ANGENY-SHOWALTER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 340 S LEMON AVE #4028
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City | WALNUT
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State | CA
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Zip | 91789
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Country | US
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Telephone | 916-546-5228
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Fax | 866-491-6341
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Provider Business Mailing Address
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Address Line | 340 S LEMON AVE #4028
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City | WALNUT
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State | CA
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Zip | 91789
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Country | US
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Telephone | 916-546-5228
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Fax | 866-491-6341
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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 | PSY23036
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License Number State | CA
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