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General NPI Number Information
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NPI Number | 1295761682
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Entity Type | Individual
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Provider Name | HELENA ELAINE MERCY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1000 NEWBURY RD #240
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City | NEWBURY PARK
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State | CA
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Zip | 91320-6435
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Country | US
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Telephone | 805-312-4019
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Fax |
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Provider Business Mailing Address
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Address Line | 548 PASEO LUNAR
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City | CAMARILLO
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State | CA
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Zip | 93010-5962
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Country | US
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Telephone | 805-312-4019
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY12993
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License Number State | CA
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