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NPI 1710104682

NPI 1710104682 : RS DESIGN & CONSULTATION CORP : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1710104682
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    Entity Type          |    Organization 
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    Legal Business Name  |    RS DESIGN & CONSULTATION CORP 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2760 5TH AVE STE. 205
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-6325
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    Country              |    US
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    Telephone            |    619-999-4138
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3687 CACTUSVIEW DR 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92105-5914
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    Country              |    US
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    Telephone            |    619-999-4138
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RAMONA LYNN SZCZERBA 
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    Credential           |    ED.M., PH.D.
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    Telephone            |    619-999-4138
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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       |    PSY16146
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    License Number State |    CA
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