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General NPI Number Information
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NPI Number | 1710911763
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Entity Type | Individual
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Provider Name | MARNI LEIGH ORSBERN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2995 RED HILL AVE
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City | COSTA MESA
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State | CA
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Zip | 92626-5976
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Country | US
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Telephone | 949-292-8469
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Fax |
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Provider Business Mailing Address
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Address Line | 26741 PORTOLA PARKWAY STE. 1E #244
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610-1763
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Country | US
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Telephone | 492-928-4699
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY19377
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License Number State | CA
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