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General NPI Number Information
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NPI Number | 1508961863
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Entity Type | Individual
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Provider Name | ARLENE KLEIN UNGER PHD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 34231 CAMINO CAPISTRANO #213
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City | DANA POINT
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State | CA
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Zip | 92624-1156
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Country | US
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Telephone | 949-240-7302
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Fax | 949-218-7609
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Provider Business Mailing Address
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Address Line | 34300 LANTERN BAY DR #29
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City | DANA POINT
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State | CA
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Zip | 92629-2874
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Country | US
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Telephone | 949-240-7302
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Fax | 949-218-7609
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 15383
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License Number State | CA
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