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General NPI Number Information
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NPI Number | 1760756621
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Entity Type | Individual
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Provider Name | CHRISTINA ANTONIA AGUIRRE-KOLB PH.D., L.E.P., PPS
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 520 E MONTECITO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93103-3245
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Country | US
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Telephone | 805-847-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E MONTECITO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93103-3245
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Country | US
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Telephone | 805-467-8414
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3283
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33856
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License Number State | CA
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