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General NPI Number Information
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NPI Number | 1811017403
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Entity Type | Individual
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Provider Name | VIRGINIA COYLE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3711 LONG BEACH BLVD STE 4065
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 562-685-3016
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Fax | 562-318-3081
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Provider Business Mailing Address
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Address Line | 3711 LONG BEACH BLVD STE 4065
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 562-685-3016
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Fax | 562-318-3081
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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 | 27169
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License Number State | CA
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