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General NPI Number Information
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NPI Number | 1477913481
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Entity Type | Individual
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Provider Name | ROBERT MAGNELLI
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Gender | Male
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 26621 CARMEL CENTER PL 202
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City | CARMEL
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State | CA
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Zip | 93923-8657
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Country | US
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Telephone | 831-625-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 26065 TORO RD
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City | SALINAS
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State | CA
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Zip | 93908-8919
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY5559
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License Number State | CA
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