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General NPI Number Information
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NPI Number | 1396698015
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Entity Type | Organization
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Legal Business Name | COGNITIVE INSIGHT INC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 265 MARCOS RD
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City | PINON HILLS
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State | CA
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Zip | 92372
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Country | US
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Telephone | 562-291-7887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721634
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City | PINON HILLS
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State | CA
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Zip | 92372-1634
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Country | US
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Telephone | 562-291-7887
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRYSTAL MONIQUE ANKELE
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Credential | PSYD
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Telephone | 562-291-7887
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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 |
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License Number State |
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