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General NPI Number Information
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NPI Number | 1750696233
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Entity Type | Individual
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Provider Name | JESSICA C SILSBY PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 445 MARINE VIEW AVE 300
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City | DEL MAR
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State | CA
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Zip | 92014-3969
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Country | US
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Telephone | 619-994-3779
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Fax | 858-724-1963
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Provider Business Mailing Address
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Address Line | PO BOX 70111
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City | SAN DIEGO
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State | CA
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Zip | 92167-1111
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Country | US
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Telephone | 619-994-3779
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Fax | 858-724-1963
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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 | PSY26188
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY26188
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PSY26188
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY26188
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PSY26188
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY26188
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License Number State | CA
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