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General NPI Number Information
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NPI Number | 1144418625
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Entity Type | Individual
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Provider Name | DARYL A. SCHROCK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 2940 W CARSON ST UNIT 235
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City | TORRANCE
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State | CA
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Zip | 90503-6061
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Country | US
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Telephone | 310-923-6871
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Fax | 310-923-6871
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Provider Business Mailing Address
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Address Line | PO BOX 11134
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City | TORRANCE
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State | CA
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Zip | 90510-1134
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Country | US
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Telephone | 310-923-6871
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Fax | 310-923-6871
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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 | 22010
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License Number State | CA
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