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General NPI Number Information
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NPI Number | 1699794388
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Entity Type | Individual
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Provider Name | THOMAS PAUL DELANEY PHD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 1173 N DIXIE DR STE. 101
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City | SAN DIMAS
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State | CA
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Zip | 91773-1200
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Country | US
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Telephone | 626-231-7500
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Fax | 909-447-0522
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Provider Business Mailing Address
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Address Line | 1173 N DIXIE DR STE. 101
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City | SAN DIMAS
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State | CA
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Zip | 91773-1200
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Country | US
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Telephone | 626-231-7500
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Fax | 909-447-0522
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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 | PSY16600
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License Number State | CA
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