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General NPI Number Information
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NPI Number | 1265910053
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Entity Type | Organization
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Legal Business Name | MARIEKE OVERMAN PHD
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 27186 NEWPORT RD STE D3
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City | MENIFEE
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State | CA
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Zip | 92584-7386
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Country | US
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Telephone | 951-296-8114
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Fax | 949-336-3847
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Provider Business Mailing Address
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Address Line | 27186 NEWPORT RD STE D3
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City | MENIFEE
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State | CA
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Zip | 92584-7386
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Country | US
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Telephone | 951-296-8114
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Fax | 949-336-3847
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Authorized Official
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Title or Position | OWNER, CLINICAL PSYCHOLOGIST
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Name | MARIEKE OVERMAN
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Credential |
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Telephone | 951-296-8114
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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 |
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License Number State |
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