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General NPI Number Information
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NPI Number | 1619390739
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Entity Type | Organization
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Legal Business Name | JENNIFER L MCGEE
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 5775 LA JOLLA CORONA DR
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City | LA JOLLA
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State | CA
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Zip | 92037-7444
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Country | US
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Telephone | 323-839-5968
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 LA JOLLA CORONA DR
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City | LA JOLLA
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State | CA
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Zip | 92037-7444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JENNIFER MCGEE
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Credential | M.A., BCBA
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Telephone | 323-839-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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