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General NPI Number Information
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NPI Number | 1235597402
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Entity Type | Organization
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Legal Business Name | ZONA C. LAI PH.D CORPORATION
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 2037 TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-3309
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Country | US
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Telephone | 858-551-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-3309
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Country | US
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Telephone | 858-551-8360
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ZONA C LAI
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Credential | PH.D
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Telephone | 858-551-8360
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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 | PSY15697
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License Number State | CA
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