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General NPI Number Information
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NPI Number | 1417856907
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Entity Type | Individual
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Provider Name | REBECCA NELSON
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 6955 FERNHILL DR
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City | MALIBU
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State | CA
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Zip | 90265-4238
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Country | US
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Telephone | 310-457-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 810 DEER WILLOW CT
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City | NEWBURY PARK
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State | CA
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Zip | 91320-5507
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Country | US
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Telephone | 818-687-2524
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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