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General NPI Number Information
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NPI Number | 1174021729
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Entity Type | Organization
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Legal Business Name | DR. RUMANA MANSUR AND ASSOCIATES, A PROFESSIONAL PSYCHOLOGICAL CORPORA
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 4000 MACARTHUR BLVD STE 600
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2517
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Country | US
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Telephone | 657-223-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 MACARTHUR BLVD STE 600 EAST TOWER
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. RUMANA MANSUR
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Credential | PHD
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Telephone | 657-223-3360
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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 |
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License Number State | CA
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