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General NPI Number Information
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NPI Number | 1437371960
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Entity Type | Individual
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Provider Name | DEBRA S LONDON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 811 EL CAMINO RD
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City | OJAI
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State | CA
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Zip | 93023-1766
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Country | US
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Telephone | 805-272-8039
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Fax |
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Provider Business Mailing Address
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Address Line | 811 EL CAMINO RD
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City | OJAI
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State | CA
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Zip | 93023-1766
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Country | US
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Telephone | 805-272-8039
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-034871-E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD27210
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G88823
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License Number State | CA
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