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General NPI Number Information
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NPI Number | 1467978817
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Entity Type | Organization
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Legal Business Name | TRUE NORTH PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 3355 MISSION AVE STE 111
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City | OCEANSIDE
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State | CA
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Zip | 92058-1327
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Country | US
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Telephone | 760-810-1440
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Fax | 760-444-3297
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Provider Business Mailing Address
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Address Line | PO BOX 4346
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City | OCEANSIDE
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State | CA
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Zip | 92052-4346
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Country | US
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Telephone | 760-810-1440
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Fax | 760-444-3297
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Authorized Official
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Title or Position | OWNER
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Name | FEEBY WOODEN
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Credential | PHD
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Telephone | 760-810-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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