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General NPI Number Information
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NPI Number | 1285625178
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Entity Type | Individual
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Provider Name | JOAN ELWOOD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 41770 12TH ST W
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City | PALMDALE
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State | CA
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Zip | 93551-1424
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Country | US
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Telephone | 800-384-6448
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Fax | 661-951-1790
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Provider Business Mailing Address
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Address Line | PO BOX 4938
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City | LANCASTER
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State | CA
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Zip | 93539-4938
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Country | US
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Telephone | 800-384-6448
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Fax | 661-951-1790
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY13446
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License Number State | CA
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