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General NPI Number Information
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NPI Number | 1417075714
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Entity Type | Individual
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Provider Name | TRACEY LEE HESS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 701 E SANTA CLARA ST STE 14C
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City | VENTURA
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State | CA
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Zip | 93001-5972
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Country | US
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Telephone | 805-689-1796
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Fax |
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Provider Business Mailing Address
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Address Line | 145 N PUEBLO AVE
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City | OJAI
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State | CA
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Zip | 93023-2234
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Country | US
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Telephone | 805-689-1796
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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 | PSY27154
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License Number State | CA
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