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General NPI Number Information
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NPI Number | 1457671026
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Entity Type | Individual
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Provider Name | ERROL JAMES PHILIP PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 135 S STATE COLLEGE BLVD STE 200
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City | BREA
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State | CA
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Zip | 92821-5805
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Country | US
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Telephone | 714-494-9409
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Fax |
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Provider Business Mailing Address
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Address Line | 135 S STATE COLLEGE BLVD STE 200
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City | BREA
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State | CA
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Zip | 92821-5805
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Country | US
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Telephone | 714-494-9409
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 26323
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License Number State | CA
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