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General NPI Number Information
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NPI Number | 1740902360
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Entity Type | Organization
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Legal Business Name | MERIT PSYCHOLOGY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2439 BIRCH ST STE 8
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City | PALO ALTO
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State | CA
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Zip | 94306-1946
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Country | US
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Telephone | 650-960-5150
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Fax | 510-443-1369
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Provider Business Mailing Address
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Address Line | 2439 BIRCH ST STE 8
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City | PALO ALTO
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State | CA
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Zip | 94306-1946
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Country | US
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Telephone | 650-960-5150
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Fax | 510-443-1369
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Authorized Official
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Title or Position | FOUNDER
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Name | ADRIENNE DIFABIO
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Credential | PHD
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Telephone | 650-960-5150
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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 |
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License Number State |
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