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General NPI Number Information
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NPI Number | 1588089874
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Entity Type | Organization
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Legal Business Name | HEALTH CAPACITY, PC
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 280 N WESTLAKE BLVD SUITE 205
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3759
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Country | US
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Telephone | 818-880-0250
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Fax |
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Provider Business Mailing Address
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Address Line | 4831 LAS VIRGENES RD # 177
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City | CALABASAS
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State | CA
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Zip | 91302-1911
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Country | US
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Telephone | 818-880-0250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RHONDA JESSUM
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Credential | PH.D.
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Telephone | 818-880-0250
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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 | PSY15775
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 644861
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PSY15775
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License Number State | CA
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