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General NPI Number Information
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NPI Number | 1356742936
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Entity Type | Organization
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Legal Business Name | DR. SARAH A. BOHN, CLINICAL PSYCHOLOGIST, INC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1207 CARLSBAD VILLAGE DR SUITE H
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City | CARLSBAD
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State | CA
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Zip | 92008-1957
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Country | US
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Telephone | 760-729-8641
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Fax | 760-434-0917
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Provider Business Mailing Address
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Address Line | 1207 CARLSBAD VILLAGE DR SUITE H
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City | CARLSBAD
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State | CA
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Zip | 92008-1957
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Country | US
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Telephone | 760-729-8641
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Fax | 760-434-0917
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. SARAH A BOHN
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Credential | PH.D.
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Telephone | 760-729-8641
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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 |
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License Number State |
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