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General NPI Number Information
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NPI Number | 1063686111
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Entity Type | Individual
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Provider Name | KAREN ANITA ZELAYA-KENDALL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2008
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 888 PROSPECT ST STE 200
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City | LA JOLLA
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State | CA
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Zip | 92037-4261
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Country | US
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Telephone | 484-557-2367
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Fax | 484-840-5613
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Provider Business Mailing Address
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Address Line | 1650 MARKET ST STE 3600
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City | PHILADELPHIA
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State | PA
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Zip | 19103-7334
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Country | US
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Telephone | 484-557-2367
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Fax | 484-840-5613
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PS016415
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License Number State | PA
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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 | PS016415
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PS016415
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY34533
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License Number State | CA
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