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General NPI Number Information
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NPI Number | 1134270317
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Entity Type | Individual
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Provider Name | REBECCA ELOISE PARTRIDGE PHD
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 391 TAYLOR BLVD SUITE 250
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2294
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Country | US
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Telephone | 925-688-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 25 OAKVALE AVE
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City | BERKELEY
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State | CA
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Zip | 94705-2403
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Country | US
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Telephone | 510-843-5016
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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 | PSY13937
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License Number State | CA
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