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General NPI Number Information
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NPI Number | 1225327877
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Entity Type | Individual
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Provider Name | DAVID RUSSELL MCCANN PH.D.; R.P.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 323 E. MATILIJA ST. # 110-158 2125 MCNELL ROAD
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City | OJAI
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State | CA
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Zip | 93023
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Country | US
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Telephone | 805-646-4455
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Fax | 805-646-4455
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Provider Business Mailing Address
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Address Line | 323 E. MATILIJA ST. # 110-158 2125 MCNELL ROAD
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City | OJAI
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State | CA
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Zip | 93023
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Country | US
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Telephone | 805-646-4455
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Fax | 805-646-4455
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | RP018
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | RP018
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License Number State |
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