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General NPI Number Information
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NPI Number | 1609933050
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Entity Type | Individual
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Provider Name | MRS. AMRITA REDDING
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 10630 TOWN CENTER DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6805
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Country | US
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Telephone | 909-630-3375
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Fax | 909-931-2441
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Provider Business Mailing Address
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Address Line | 2422 N MOUNTAIN AVE
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City | UPLAND
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State | CA
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Zip | 91784-1043
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Country | US
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Telephone | 909-630-3375
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Fax | 909-931-2441
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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 | PSY7071
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License Number State | CA
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