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General NPI Number Information
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NPI Number | 1689003568
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Entity Type | Individual
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Provider Name | MERILEE LOVEJOY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 123 W PADRE ST STE A
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3960
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Country | US
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Telephone | 206-819-2080
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Fax |
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Provider Business Mailing Address
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Address Line | 133 E DE LA GUERRA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2228
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Country | US
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Telephone | 206-819-2080
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Fax | 805-678-8989
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY25918
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License Number State | CA
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