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General NPI Number Information
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NPI Number | 1508137647
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Entity Type | Organization
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Legal Business Name | DR. DEBORAH DIGIARO PSYCHOLOGIST, INC.
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 1601 CARMEN DR SUITE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-3105
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Country | US
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Telephone | 805-389-8111
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Fax | 805-389-8188
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Provider Business Mailing Address
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Address Line | 1601 CARMEN DR SUITE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-3105
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Country | US
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Telephone | 805-389-8111
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Fax | 805-389-8188
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DEBORAH A DIGIARO
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Credential | PH.D., R.N., C.N.P.
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Telephone | 805-389-8111
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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 | PSY14492
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License Number State | CA
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