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General NPI Number Information
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NPI Number | 1366647489
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Entity Type | Individual
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Provider Name | ODED R SHEZIFI PSY.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 317 14TH ST STE E
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City | DEL MAR
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State | CA
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Zip | 92014-2554
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Country | US
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Telephone | 858-260-3583
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Fax |
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Provider Business Mailing Address
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Address Line | 317 14TH ST STE E
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City | DEL MAR
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State | CA
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Zip | 92014-2554
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Country | US
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Telephone | 760-215-3387
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 21162
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License Number State | CA
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