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General NPI Number Information
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NPI Number | 1134715311
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Entity Type | Organization
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Legal Business Name | INLAND PACIFIC PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 12/12/2020
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 10737 LAUREL STREET, SUITE 135
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City | RANCHO CUCUAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-550-1550
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Fax | 909-550-1545
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Provider Business Mailing Address
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Address Line | 10737 LAUREL STREET, SUITE 135
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City | RANCHO CUCUAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-550-1550
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Fax | 909-550-1545
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SHEILA B HAYS
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Credential | PH.D
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Telephone | 909-477-1688
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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 |
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License Number State |
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