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General NPI Number Information
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NPI Number | 1083836209
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Entity Type | Individual
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Provider Name | NURIT MUSSEN PHD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 QUAIL COURT SUITE 200
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City | WALNUT CREEK
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State | CA
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Zip | 94596
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Country | US
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Telephone | 925-926-0535
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Fax | 925-938-7776
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Provider Business Mailing Address
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Address Line | 2540 MARIN AVE
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City | BERKELEY
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State | CA
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Zip | 94708
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Country | US
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Telephone | 510-559-9260
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Fax | 510-524-2980
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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 | PSY12386
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License Number State | CA
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