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General NPI Number Information
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NPI Number | 1386066041
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Entity Type | Organization
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Legal Business Name | KIM AJLOUNY, PSY.D.
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 5850 OBERLIN DR SUITE 330
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City | SAN DIEGO
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State | CA
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Zip | 92121-4719
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Country | US
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Telephone | 858-229-6986
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Fax | 858-712-3881
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Provider Business Mailing Address
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Address Line | 2351 MANCHESTER AVE
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City | CARDIFF BY THE SEA
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State | CA
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Zip | 92007-2009
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Country | US
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Telephone | 858-229-6986
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Fax | 858-712-3881
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KIM LEE AJLOUNY
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Credential | PSY.D.
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Telephone | 858-229-6986
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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 | PSY23171
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License Number State | CA
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