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General NPI Number Information
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NPI Number | 1457715542
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CENTER FOR HUMAN CONCERNS
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 350 CAMBRIDGE AVE SUITE 200
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City | PALO ALTO
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State | CA
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Zip | 94306-1550
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Country | US
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Telephone | 541-690-4639
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Fax |
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Provider Business Mailing Address
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Address Line | 3181 STELLING DR
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City | PALO ALTO
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State | CA
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Zip | 94303-3961
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Country | US
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Telephone | 541-690-4639
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Fax |
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Authorized Official
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Title or Position | CHILD & ADOLESCENT PSYCHIATRIST
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Name | DR. ROBERT T. DAEHLER
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Credential | M.D.
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Telephone | 541-690-4639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A21760
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License Number State | CA
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