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General NPI Number Information
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NPI Number | 1184875775
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Entity Type | Individual
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Provider Name | DEBRA T KESSLER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 2233 HONOLULU AVE SUITE 308
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City | MONTROSE
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State | CA
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Zip | 91020-1635
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Country | US
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Telephone | 818-248-6414
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Fax | 818-790-6510
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Provider Business Mailing Address
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Address Line | 2233 HONOLULU AVE SUITE 308
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City | MONTROSE
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State | CA
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Zip | 91020-1635
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Country | US
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Telephone | 818-248-6414
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Fax | 818-790-6510
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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 | PSY19100
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License Number State | CA
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