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General NPI Number Information
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NPI Number | 1588653562
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Entity Type | Individual
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Provider Name | HALIMAH REIS MCGEE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2850 MESA VERDE DR E SUITE H
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City | COSTA MESA
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State | CA
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Zip | 92626-4891
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Country | US
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Telephone | 714-435-9130
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Fax | 714-435-9130
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Provider Business Mailing Address
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Address Line | 2850 MESA VERDE DR E SUITE H
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City | COSTA MESA
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State | CA
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Zip | 92626-4891
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Country | US
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Telephone | 714-435-9130
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Fax | 714-435-9130
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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 | PSY13739
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License Number State | CA
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