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General NPI Number Information
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NPI Number | 1477324622
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Entity Type | Individual
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Provider Name | DARYL M ROWE PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 10801 NATIONAL BLVD STE 251
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City | LOS ANGELES
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State | CA
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Zip | 90064-4141
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Country | US
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Telephone | 323-962-6067
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Fax |
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Provider Business Mailing Address
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Address Line | 5172 ANGELES VISTA BLVD
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City | VIEW PARK
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State | CA
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Zip | 90043-1742
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Country | US
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Telephone | 323-291-7011
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY9029
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License Number State | CA
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