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General NPI Number Information
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NPI Number | 1659506814
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Entity Type | Organization
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Legal Business Name | L.K.PAUL & ASSOCIATES PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 1214 E COLORADO BLVD STE 206
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City | PASADENA
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State | CA
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Zip | 91106-1899
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Country | US
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Telephone | 310-367-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 E COLORADO BLVD STE 206
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City | PASADENA
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State | CA
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Zip | 91106-1899
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Country | US
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Telephone | 310-367-9142
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LYNN KERLIN PAUL
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Credential | PH.D.
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Telephone | 310-367-9142
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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 | PSY16791
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License Number State | CA
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