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General NPI Number Information
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NPI Number | 1609978931
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Entity Type | Individual
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Provider Name | DEBORAH DIFERDINANDO PSY.D., MFT, CADCII
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/16/2009
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Provider Practice Location Address
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Address Line | 2564 STATE ST STE B
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City | CARLSBAD
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State | CA
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Zip | 92008-1662
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Country | US
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Telephone | 760-822-4877
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Fax | 760-842-1313
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Provider Business Mailing Address
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Address Line | 1611A S. MELROSE DR. #301
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City | VISTA
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State | CA
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Zip | 92081
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Country | US
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Telephone | 760-822-4877
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Fax | 760-842-1313
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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 | PSY22608
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC37170
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A8381801
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License Number State | CA
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