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General NPI Number Information
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NPI Number | 1275177982
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Entity Type | Organization
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Legal Business Name | FUSION CARE GROUP, A PSYCHOLOGICAL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 2271 ALPINE BLVD STE A
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City | ALPINE
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State | CA
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Zip | 91901-1101
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Country | US
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Telephone | 619-448-1216
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Fax | 888-291-4799
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Provider Business Mailing Address
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Address Line | 2271 ALPINE BLVD STE A
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City | ALPINE
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State | CA
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Zip | 91901-1101
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Country | US
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Telephone | 619-448-1216
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Fax | 888-291-4799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIANA KATARINA SILVA
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Credential | PHD
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Telephone | 619-448-1216
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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 |
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License Number State |
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