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General NPI Number Information
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NPI Number | 1295282390
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Entity Type | Organization
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Legal Business Name | DR. MERINO & ASSOCIATES, PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 235 W 7TH ST
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City | OXNARD
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State | CA
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Zip | 93030-7131
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Country | US
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Telephone | 805-253-3571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21009
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City | OXNARD
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State | CA
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Zip | 93034-1009
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Country | US
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Telephone | 805-253-3571
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST/OWNE
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Name | DR. VIRNA T MERINO LANDRON
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Credential | PH.D.
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Telephone | 805-666-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | PSY25194
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License Number State | CA
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