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General NPI Number Information
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NPI Number | 1629507728
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Entity Type | Organization
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Legal Business Name | FREDRIC A. SELDIN, PH.D., PC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7840 MISSION CENTER CT STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-1320
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Country | US
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Telephone | 619-813-5923
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Fax | 619-618-1795
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Provider Business Mailing Address
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Address Line | 7840 MISSION CENTER CT STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-1320
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Country | US
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Telephone | 619-813-5923
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Fax | 619-618-1795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDRIC A. SELDIN
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Credential | PH.D.
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Telephone | 619-813-5923
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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 |
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License Number State |
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