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General NPI Number Information
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NPI Number | 1508052002
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Entity Type | Organization
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Legal Business Name | JENNIFER POND, PSY.D., A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 4505 LAS VIRGENES RD SUITE 217
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City | CALABASAS
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State | CA
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Zip | 91302-1956
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Country | US
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Telephone | 818-888-3408
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Fax | 818-878-0102
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Provider Business Mailing Address
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Address Line | 4505 LAS VIRGENES RD SUITE 217
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City | CALABASAS
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State | CA
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Zip | 91302-1956
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Country | US
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Telephone | 818-888-3408
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Fax | 818-878-0102
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER POND
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Credential | PSY.D.
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Telephone | 818-888-3408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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