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General NPI Number Information
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NPI Number | 1497046239
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Entity Type | Organization
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Legal Business Name | O'ROARTY PSYCHOLOGY AND CONSULTING, INC.
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 3607 WILSHIRE TER
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City | SAN DIEGO
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State | CA
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Zip | 92104-3231
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Country | US
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Telephone | 619-518-7275
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Fax | 619-296-4553
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Provider Business Mailing Address
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Address Line | 3607 WILSHIRE TER
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City | SAN DIEGO
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State | CA
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Zip | 92104-3231
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Country | US
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Telephone | 619-518-7275
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Fax | 619-296-4553
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DANIEL O'ROARTY
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Credential | PH.D.
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Telephone | 619-518-7275
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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 | PSY12719
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License Number State | CA
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