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General NPI Number Information
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NPI Number | 1609115302
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Entity Type | Individual
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Provider Name | ROSALIE CHRISTINE DIAZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 120-16555 FRASER HWY
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City | SURREY
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State | BC
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Zip | V4N OE9
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Country | CA
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Telephone | 604-575-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 14819 59A AVENUE
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City | SURREY
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State | BC
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Zip | V3S 2W6
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Country | CA
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Telephone | 778-960-6762
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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