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General NPI Number Information
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NPI Number | 1417262619
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Entity Type | Organization
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Legal Business Name | ADVANCED PSYCHOLOGICAL ASSOCIATES & WELLNESS CENTER PC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 10722 ARROW RTE STE 314
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4811
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Country | US
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Telephone | 909-484-8888
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Fax | 909-581-0920
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Provider Business Mailing Address
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Address Line | 10722 ARROW RTE STE 314
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4811
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Country | US
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Telephone | 909-484-8888
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Fax | 909-581-0920
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH SEFFINGER
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Credential |
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Telephone | 818-404-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY 22246
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License Number State | CA
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