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General NPI Number Information
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NPI Number | 1396397931
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Entity Type | Individual
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Provider Name | ROSALEEN KAUR DHALIWAL PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2019
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 11401 BLOOMFIELD AVE
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City | NORWALK
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State | CA
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Zip | 90650-2015
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Country | US
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Telephone | 562-863-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 N FAIRFAX AVE UNIT 461876
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-8633
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Country | US
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Telephone | 562-474-2584
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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 | 35344
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License Number State | CA
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