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General NPI Number Information
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NPI Number | 1255546131
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER FULTON, PH.D., A PSYCHOLOGICAL ASSOCIATION
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23480 PARK SORRENTO SUITE 200B
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City | CALABASAS
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State | CA
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Zip | 91302-1306
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Country | US
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Telephone | 818-591-3000
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Fax | 818-591-3041
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Provider Business Mailing Address
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Address Line | 23480 PARK SORRENTO SUITE 200B
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City | CALABASAS
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State | CA
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Zip | 91302-1306
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Country | US
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Telephone | 818-591-3000
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Fax | 818-591-3041
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER FULTON
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Credential | PH.D.
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Telephone | 818-591-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY14741
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License Number State | CA
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