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General NPI Number Information
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NPI Number | 1710045612
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Entity Type | Individual
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Provider Name | H. NICOLE HESS PHD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 6620 VIA DEL ORO
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City | SAN JOSE
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State | CA
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Zip | 95119-1451
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Country | US
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Telephone | 408-360-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 831 MARSH RD
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City | MENLO PARK
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State | CA
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Zip | 94025-2051
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Country | US
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Telephone |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY 22960
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License Number State | CA
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