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General NPI Number Information
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NPI Number | 1558456046
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Entity Type | Individual
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Provider Name | JAMES ALAN BONDELL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2477 CONGRESS ST
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City | SAN DIEGO
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State | CA
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Zip | 92110-2820
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Country | US
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Telephone | 760-729-4931
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Fax | 760-536-9136
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Provider Business Mailing Address
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Address Line | 1673 E VALLEY PKWY PMB#226
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City | ESCONDIDO
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State | CA
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Zip | 92027
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Country | US
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Telephone | 760-729-4931
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Fax | 760-536-9136
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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 4842
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License Number State | CA
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