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General NPI Number Information
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NPI Number | 1205143807
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL AND PERSONAL EXCELLENCE INTERNATIONAL
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 3530 CAMINO DEL RIO N SUITE 103
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City | SAN DIEGO
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State | CA
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Zip | 92108-1743
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Country | US
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Telephone | 619-991-0591
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Fax | 858-536-9637
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Provider Business Mailing Address
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Address Line | 3530 CAMINO DEL RIO N SUITE 103
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City | SAN DIEGO
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State | CA
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Zip | 92108-1743
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Country | US
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Telephone | 619-991-0591
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Fax | 858-536-9637
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOLORES I RODRIGUEZ-REIMANN
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Credential | PH.D.
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Telephone | 619-991-0591
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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 | PSY 17124
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License Number State | CA
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