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General NPI Number Information
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NPI Number | 1609817733
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Entity Type | Individual
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Provider Name | S. JUDY HSIEH PH.D
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 10521 JOHNSON AVE
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City | CUPERTINO
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State | CA
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Zip | 95014-3815
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Country | US
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Telephone | 702-514-6911
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Fax | 702-710-1788
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Provider Business Mailing Address
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Address Line | 3304 ALPINE LILY DR
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City | LAS VEGAS
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State | NV
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Zip | 89141-3249
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Country | US
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Telephone | 702-514-6911
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Fax | 702-710-1788
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY13477
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License Number State | CA
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