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General NPI Number Information
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NPI Number | 1073759262
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Entity Type | Individual
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Provider Name | JOHN N. MCKELVIE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 41990 COOK ST BLDG F, SUITE 1002
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 760-423-1323
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Fax | 760-341-5622
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Provider Business Mailing Address
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Address Line | 41990 COOK ST BLDG F, SUITE 1002
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 760-423-1323
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Fax | 760-341-5622
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 3425
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License Number State | CO
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