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General NPI Number Information
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NPI Number | 1639670409
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Entity Type | Organization
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Legal Business Name | JANNINA DARLING
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 11038 WASHINGTON BLVD UNIT A
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City | WHITTIER
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State | CA
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Zip | 90606-3006
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Country | US
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Telephone | 562-215-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 11038 WASHINGTON BLVD UNIT A
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City | WHITTIER
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State | CA
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Zip | 90606-3006
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Country | US
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Telephone | 562-215-4555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANNINA DARLING
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Credential | PH.D.
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Telephone | 562-215-4555
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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 | 25221
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License Number State | CA
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