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General NPI Number Information
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NPI Number | 1699869222
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Entity Type | Individual
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Provider Name | ROBIN THOMAS BOSCARELLI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR STE 200
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City | OXNARD
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State | CA
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Zip | 93036-0673
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Country | US
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Telephone | 805-973-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 533 NORTH PECK ROAD
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City | SANTA PAULA
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State | CA
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Zip | 93060-1847
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Country | US
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Telephone | 805-933-3190
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Fax |
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | PSY14464
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | CA PSY 14464
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License Number State | CA
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