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General NPI Number Information
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NPI Number | 1114146545
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Entity Type | Individual
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Provider Name | ARTHUR VITO GIACALONE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 936 DEWING AVE
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City | LAFAYETTE
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State | CA
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Zip | 94549-4290
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Country | US
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Telephone | 925-256-9069
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Fax | 925-280-1049
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Provider Business Mailing Address
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Address Line | 605 PREAKNESS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3688
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Country | US
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Telephone | 925-256-9069
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Fax | 925-280-1049
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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 | 11425
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License Number State | CA
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