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General NPI Number Information
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NPI Number | 1487895736
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Entity Type | Individual
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Provider Name | ADAM CHIDEKEL PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 28494 WESTINGHOUSE PL STE 314
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City | VALENCIA
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State | CA
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Zip | 91355-0936
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Country | US
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Telephone | 818-259-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 28494 WESTINGHOUSE PL STE 314
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City | VALENCIA
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State | CA
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Zip | 91355-0936
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Country | US
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Telephone | 818-259-4046
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 13156
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY 13156
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PSY 13156
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY13156
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License Number State | CA
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