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General NPI Number Information
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NPI Number | 1780771253
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Entity Type | Individual
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Provider Name | RALPH GUNTHER KUECHLE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 3611 S HARBOR BLVD SUITE 100
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City | SANTA ANA
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State | CA
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Zip | 92704-6928
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Country | US
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Telephone | 714-955-1766
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Fax |
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Provider Business Mailing Address
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Address Line | 2129 E TAFT AVE
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City | ORANGE
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State | CA
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Zip | 92867-4028
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Country | US
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Telephone | 714-345-3449
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22751
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License Number State | CA
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