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General NPI Number Information
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NPI Number | 1164893442
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Entity Type | Individual
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Provider Name | URI KUGEL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 5230 CARROLL CANYON RD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92121-1779
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Country | US
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Telephone | 510-213-8740
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Fax |
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Provider Business Mailing Address
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Address Line | 7462 BRENTWOOD ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-4330
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Country | US
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Telephone | 510-213-8740
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY28642
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License Number State | CA
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