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General NPI Number Information
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NPI Number | 1508367905
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Entity Type | Organization
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Legal Business Name | SHEREE RILEY-VIOLON PSYD INC.
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 1439 E CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92866-2228
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Country | US
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Telephone | 714-288-0525
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Fax | 714-289-9008
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Provider Business Mailing Address
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Address Line | 1439 E CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92866-2228
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Country | US
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Telephone | 714-288-0525
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Fax | 714-289-9008
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MRS. SHEREE RILEY-VIOLON
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Credential | PSYD
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Telephone | 714-288-0525
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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 |
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License Number State |
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