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General NPI Number Information
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NPI Number | 1174606560
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Entity Type | Individual
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Provider Name | TERESA L KEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 9834 GENESEE AVE STE. 427
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City | LA JOLLA
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State | CA
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Zip | 92037-1223
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Country | US
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Telephone | 858-638-7882
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 COUNTRY GROVE LN
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City | ENCINITAS
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State | CA
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Zip | 92024-1930
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Country | US
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Telephone | 760-439-5061
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Fax | 858-755-9010
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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 | PSY17537
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License Number State | CA
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