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General NPI Number Information
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NPI Number | 1629301676
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Entity Type | Organization
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Legal Business Name | RICHARD OELBERGER, PHD PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 292 S LA CIENEGA BLVD SUITE 400/ PHC
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3330
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Country | US
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Telephone | 310-490-6733
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Fax |
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Provider Business Mailing Address
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Address Line | 292 S LA CIENEGA BLVD SUITE 400/ PHC
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3330
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Country | US
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Telephone | 310-490-6733
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RICHARD OELBERGER
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Credential | PHD
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Telephone | 310-490-6733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 22186
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License Number State | CA
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