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General NPI Number Information
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NPI Number | 1689038192
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Entity Type | Organization
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Legal Business Name | KIRSTIN FILIZETTI, PHD
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 2535 CAMINO DEL RIO S SUITE 106
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City | SAN DIEGO
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State | CA
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Zip | 92108-3754
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Country | US
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Telephone | 619-940-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 2535 CAMINO DEL RIO S SUITE 106
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City | SAN DIEGO
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State | CA
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Zip | 92108-3754
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Country | US
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Telephone | 619-940-7774
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Fax | 619-377-6701
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KIRSTIN G FILIZETTI
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Credential | PHD
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Telephone | 619-940-7774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY25099
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License Number State | CA
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