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General NPI Number Information
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NPI Number | 1093195661
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Entity Type | Organization
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Legal Business Name | PAUL OBERON, PSY.D., INC.
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 7421 BEVERLY BLVD #10
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City | LOS ANGELES
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State | CA
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Zip | 90036-2703
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Country | US
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Telephone | 323-937-7777
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Fax | 323-937-2222
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Provider Business Mailing Address
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Address Line | 7421 BEVERLY BLVD #10
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City | LOS ANGELES
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State | CA
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Zip | 90036-2703
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Country | US
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Telephone | 323-937-7777
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Fax | 323-937-2222
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. PAUL OBERON
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Credential | PSY.D.
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Telephone | 323-937-7777
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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 | PSY14806
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License Number State | CA
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