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General NPI Number Information
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NPI Number | 1427499094
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PSYCHIATRIC SPECIALISTS
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 405 14TH ST STE 711
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City | OAKLAND
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State | CA
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Zip | 94612-2706
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Country | US
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Telephone | 888-217-5353
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Fax | 714-464-2215
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Provider Business Mailing Address
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Address Line | PO BOX 6646
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City | ORANGE
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State | CA
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Zip | 92863-6646
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Country | US
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Telephone | 888-217-5353
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Fax | 714-464-2215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFERY GOULD
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Credential | M.D.
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Telephone | 888-217-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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