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General NPI Number Information
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NPI Number | 1437931367
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Entity Type | Organization
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Legal Business Name | ELIZABETH MCDADE-MONTEZ, PSYCHOLOGIST, INC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2121 41ST AVE STE 202
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City | CAPITOLA
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State | CA
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Zip | 95010-2058
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Country | US
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Telephone | 831-946-2309
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Fax |
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Provider Business Mailing Address
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Address Line | 421 MCCORMICK AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-3706
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Country | US
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Telephone | 831-946-2309
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ELIZABETH MCDADE-MONTEZ
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Credential | PHD
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Telephone | 831-946-2309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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