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General NPI Number Information
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NPI Number | 1538326020
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Entity Type | Individual
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Provider Name | REGAN ROCHELLE POPE
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 9 KPC PKWY
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City | CORONA
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State | CA
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Zip | 92879-7102
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Country | US
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Telephone | 951-509-5000
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Fax | 951-509-6070
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Provider Business Mailing Address
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Address Line | 4595 UNIVERSITY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92501-3037
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Country | US
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Telephone | 951-323-8306
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Fax |
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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 | 103TS0200X
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Taxonomy Name | School 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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 108752
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License Number State | CA
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