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General NPI Number Information
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NPI Number | 1083146237
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Entity Type | Organization
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Legal Business Name | FEELING DOCTOR PSYCHOTHERAPY, APC
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 1985 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4131
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Country | US
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Telephone | 800-460-9219
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Fax | 800-460-9219
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Provider Business Mailing Address
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Address Line | PO BOX 4136
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93403-4136
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Country | US
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Telephone | 800-460-9219
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Fax | 800-460-9219
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANITA ROBIN AYLOR
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Credential | PH.D.
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Telephone | 800-460-9219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY 16291
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License Number State | CA
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