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NPI 1497820344

NPI 1497820344 : MORGAN BRIANNA PEPITON PSY.D. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1497820344
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN BRIANNA PEPITON PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2006
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    Last Update Date     |    05/18/2018
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Provider Practice Location Address
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    Address Line         |    835 5TH AVE STE 307 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92101
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    Country              |    US
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    Telephone            |    858-914-1603
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 154103 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92195-4103
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    Country              |    US
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    Telephone            |    619-741-7558
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    Fax                  |    619-741-7558
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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        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    PSY23246
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY23246
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    License Number State |    CA
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