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General NPI Number Information
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NPI Number | 1336463777
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Entity Type | Individual
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Provider Name | SUSAN BELLE DAY PH.D., RN,
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Gender | Female
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Dates
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Enumeration Date | 03/14/2010
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 103 S FOREST RD
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City | SONORA
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State | CA
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Zip | 95370-4895
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Country | US
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Telephone | 209-533-1699
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Fax | 209-532-0699
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Provider Business Mailing Address
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Address Line | 103 S FOREST RD
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City | SONORA
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State | CA
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Zip | 95370-4895
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Country | US
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Telephone | 209-533-1699
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Fax | 209-533-1616
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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 23349
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License Number State | CA
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