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General NPI Number Information
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NPI Number | 1689375073
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Entity Type | Organization
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Legal Business Name | SALUBRIOUS THERAPY
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 2700 FIELDBROOK WAY
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City | ESCONDIDO
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State | CA
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Zip | 92027-1889
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Country | US
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Telephone | 858-859-0896
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Fax |
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Provider Business Mailing Address
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Address Line | 11956 BERNARDO PLAZA DR # 402
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City | SAN DIEGO
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State | CA
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Zip | 92128-2538
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Country | US
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Telephone | 858-859-0896
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. NICOLE C MULLER
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Credential | PH.D.
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Telephone | 415-378-8666
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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 |
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License Number State |
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