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General NPI Number Information
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NPI Number | 1649785403
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Entity Type | Individual
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Provider Name | KIMBERLEY R. ARGUE SCHWARTZ PHD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 250 W MAIN ST STE 201
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City | TUSTIN
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State | CA
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Zip | 92780-7718
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Country | US
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Telephone | 714-553-7287
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Fax |
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Provider Business Mailing Address
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Address Line | 717 ROSARITA DR
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City | FULLERTON
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State | CA
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Zip | 92835-1842
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Country | US
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Telephone | 714-553-7287
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Fax |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY17081
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PSY17081
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | PSY17081
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY17081
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License Number State | CA
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