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General NPI Number Information
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NPI Number | 1215509898
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Entity Type | Organization
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Legal Business Name | WITHIN SIGHT PSYCHOLOGICAL AND INTEGRATED SOLUTIONS, INC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 4907 MORENA BLVD STE 1416
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City | SAN DIEGO
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State | CA
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Zip | 92117-7393
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Country | US
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Telephone | 858-366-7973
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 W POINT LOMA BLVD STE H56720
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City | SAN DIEGO
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State | CA
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Zip | 92110-5643
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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 | OWNER OF GROUP
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Name | CANDACE FANALE
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Credential | PH.D.
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Telephone | 858-366-7973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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