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General NPI Number Information
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NPI Number | 1568441590
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Entity Type | Individual
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Provider Name | SIDNEY RAPIER CORMIER JR. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1158 N COURT ST
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City | REDDING
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State | CA
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Zip | 96001-0436
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Country | US
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Telephone | 530-209-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 1364 EMPRESS LN
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City | REDDING
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State | CA
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Zip | 96002-5069
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Country | US
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Telephone | 530-209-9710
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Fax | 176-068-3605
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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 | PSY6659
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License Number State | CA
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