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General NPI Number Information
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NPI Number | 1700132610
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Entity Type | Individual
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Provider Name | JAHNA DHAYE ANYANWU PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2012
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Last Update Date | 07/29/2012
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Provider Practice Location Address
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Address Line | 4715 VIEWRIDGE AVE SUITE 110
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City | SAN DIEGO
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State | CA
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Zip | 92123-1658
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Country | US
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Telephone | 800-257-8715
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 NEW TERRITORY BLVD APT. 9107
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City | SUGAR LAND
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State | TX
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Zip | 77479-5964
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Country | US
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Telephone | 281-216-3114
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36232
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License Number State | TX
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