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General NPI Number Information
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NPI Number | 1538235411
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Entity Type | Individual
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Provider Name | SARAH POLSELLI BEYER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 2423 CAMINO DEL RIO S SUITE 205
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City | SAN DIEGO
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State | CA
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Zip | 92108-3702
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Country | US
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Telephone | 619-961-3800
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Fax | 619-810-2439
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Provider Business Mailing Address
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Address Line | 2022 ABBOTT ST
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City | SAN DIEGO
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State | CA
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Zip | 92107-2504
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Country | US
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Telephone | 858-229-8070
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Fax | 619-892-7033
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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 | 23883
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License Number State | CA
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