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General NPI Number Information
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NPI Number | 1558436501
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Entity Type | Individual
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Provider Name | NOEMI BEATRIX BALINTH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 836 PROSPECT STREET SUITE 101
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City | LA JOLLA
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State | CA
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Zip | 92037-4213
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Country | US
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Telephone | 858-456-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 CAMINITO OCEAN COVE CARDIFF-BY-THE-SEA
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City | CARDIFF-BY-THE-SEA
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State | CA
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Zip | 92007-2226
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Country | US
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Telephone | 760-944-8300
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 18367
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 010948
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License Number State | NY
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