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General NPI Number Information
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NPI Number | 1063929420
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Entity Type | Organization
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Legal Business Name | ARIOP PSYCHOLOGY GROUP, INC.
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 5050 SAN BERNARDINO ST
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City | MONTCLAIR
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State | CA
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Zip | 91763-2326
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Country | US
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Telephone | 909-281-5800
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Fax | 951-848-9121
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Provider Business Mailing Address
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Address Line | 2058 N. MILLS AVE. PMB 411
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City | CLAREMONT
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State | CA
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Zip | 91711-2812
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Country | US
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Telephone | 909-465-7193
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Fax | 951-848-9121
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Authorized Official
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Title or Position | CEO
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Name | TERRY CHASE
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Credential | PH.D.
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Telephone | 909-465-7193
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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 | PSY11141
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License Number State | CA
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