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General NPI Number Information
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NPI Number | 1104026954
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Entity Type | Individual
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Provider Name | DEVON BERKHEISER O'NEILL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 3790 VIA DE LA VALLE SUITE 118E
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City | DEL MAR
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State | CA
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Zip | 92014-4247
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Country | US
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Telephone | 858-337-1213
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 90247
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City | SAN DIEGO
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State | CA
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Zip | 92169-2247
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Country | US
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Telephone | 858-337-1213
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY25621
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License Number State | CA
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