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General NPI Number Information
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NPI Number | 1306999404
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Entity Type | Individual
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Provider Name | MARIANNE PESCI KLEE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 14112 S. KINGSLEY DRIVE
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City | GARDENA
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State | CA
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Zip | 90249
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Country | US
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Telephone | 310-217-7325
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Fax | 310-351-3111
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Provider Business Mailing Address
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Address Line | 14112 S KINGSLEY DR
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City | GARDENA
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State | CA
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Zip | 90249-3018
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Country | US
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Telephone | 310-217-7325
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Fax | 310-351-3111
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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 | PSY 18319
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License Number State | CA
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