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General NPI Number Information
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NPI Number | 1356375729
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Entity Type | Individual
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Provider Name | CHARLES CLARK ERTL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10981 SAN DIEGO MISSION RD SUITE 114
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City | SAN DIEGO
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State | CA
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Zip | 92108-2448
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Country | US
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Telephone | 619-286-2687
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Fax | 619-286-2687
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Provider Business Mailing Address
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Address Line | 4852 LILA DR
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City | SAN DIEGO
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State | CA
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Zip | 92115-1910
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Country | US
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Telephone | 619-286-2687
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Fax | 619-286-2687
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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 | PSY15479
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License Number State | CA
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