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NPI 1700974748

NPI 1700974748 : FREDERICK DAVID ALPERN PH.D. : OCEANSIDE, CA

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General NPI Number Information
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    NPI Number           |    1700974748
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    Entity Type          |    Individual 
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    Provider Name        |    FREDERICK DAVID ALPERN PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2101 S EL CAMINO REAL SUITE 207
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    City                 |    OCEANSIDE
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    State                |    CA
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    Zip                  |    92054-6227
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    Country              |    US
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    Telephone            |    760-850-0967
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    Fax                  |    760-510-3874
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Provider Business Mailing Address
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    Address Line         |    204 N EL CAMINO REAL P.M.B. 108E
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    City                 |    ENCINITAS
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    State                |    CA
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    Zip                  |    92024-2867
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    Country              |    US
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    Telephone            |    760-850-0967
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    Fax                  |    760-510-3874
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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       |    PSY 15772
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    License Number State |    CA
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